Rick K Fagan, LCPC Valid NPI

Individual provider · Professional Counselor · O Fallon, IL

NPI

1881124964

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

180011014 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2017-06-12

Last updated

2022-07-21