Patrick L Fagan, LCSW
Social Worker, Clinical in Eugene, OR. Individual provider (NPI-1).
NPI number1497954580
StatusActive
Last updated in NPPESJun 9, 2016
Details
- NPI
- 1497954580
- Entity type
- Individual (NPI-1)
- Name
- Patrick L Fagan
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2007
- Last updated
- Jun 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
1234 Pearl StSuite 3
Eugene, OR 97401-3642
Phone 541-968-7424
Mailing address
980 Bobolink AveEugene, OR 97404-1513
Phone 541-607-2728
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