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Individual

MICHAEL FAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCAS, CCS

Contact information

Practice address
70 WOODFIN PL STE 326A, ASHEVILLE, NC 28801-8403
(828) 713-7991
Mailing address
PO BOX 6892, ASHEVILLE, NC 28816-6892
(828) 713-7991

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1757
NC
101YP2500X
Professional Counselor
7779
NC

Other

Enumeration date
08/23/2011
Last updated
12/09/2016
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