Individual
MS. JANE HEYSHAM FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
383 LODGEWOOD LN, LAFAYETTE, CO 80026-3405
(720) 890-0966
Mailing address
383 LODGEWOOD LN, LAFAYETTE, CO 80026-3405
(720) 890-0966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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