Kenneth C Fagan
Kenneth C Fagan is a Professional Counselor in Enfield, Connecticut. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
153 Hazard AveEnfield, CT 06082-4592
Phone: (860) 731-5522
Fax: (860) 731-5536
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1740052919 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 23, 2023 |
| Last updated in NPPES | October 23, 2023 |
| Certification date | October 23, 2023 |
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