Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willaim Thomas Fagan, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588905319

Willaim Thomas Fagan, LPC is an Addiction (Substance Use Disorder) Counselor in Bend, Oregon. Works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1569 SW Nancy Way
Bend, OR 97702-3234
Phone: (541) 617-0377
Fax: (541) 617-0377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 339 Sw Century Dr Ste 201, Bend, OR 97702-1338 — (541) 508-9593
  • 676 Ne Negus Way, Redmond, OR 97756-8527 — (541) 516-4087

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C4302 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R2719 (OR)

Record details

NPI number1588905319
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 4, 2013
Last updated in NPPESAugust 15, 2019
Mailing address3616 Sw Reindeer Ave, Redmond, OR 97756-7953

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