Individual
ANDREW FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6717 S YALE AVE STE 202, TULSA, OK 74136-3328
(918) 693-5201
Mailing address
4021 E 26TH ST, TULSA, OK 74114-4713
(918) 693-5201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
04/04/2012
Last updated
06/23/2019
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