Kenneth C Fagan Valid NPI
Individual provider · Professional Counselor · Enfield, CT
- NPI
- 1740052919
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-10-23
- Last updated
- 2023-10-23
Practice location
153 Hazard Ave
Enfield, CT 06082-4592
(860) 731-5522