Individual
BRIAN ODELL PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
4400 N FEDERAL HWY STE 210, BOCA RATON, FL 33431-5195
(954) 696-4001
Mailing address
4400 N FEDERAL HWY STE 210, BOCA RATON, FL 33431-5195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH14953
FL
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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