Pamela Fagan, MA, LCPC
Pamela Fagan, MA, LCPC is a Mental Health Counselor in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
Practice location Address checks out
13923 W Wainwright Dr Ste 302Boise, ID 83713-1969
Phone: (208) 724-8598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LCPC-4674 (ID) |
|---|
Record details
| NPI number | 1104093061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA , LCPC |
| Sole proprietor | Yes |
| NPI enumerated | May 9, 2008 |
| Last updated in NPPES | February 22, 2011 |
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