Individual
MICHAEL A PAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(201) 956-6363
Mailing address
200 PURGATORY RD, CAMPBELL HALL, NY 10916-2620
(845) 239-1551
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3FA00017100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3FA00017100
STATE BOARD OF MARRIAGE AND FAMILY THERAPY EXAMINERS
NJ
Enumeration date
11/19/2019
Last updated
11/19/2019
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