Alicia Mary Fagan in Southington - Addiction (substance Use Disorder)
Alicia Mary Fagan - NPI 1629157615
Alicia Mary Fagan is a Addiction (substance Use Disorder) in Southington, Connecticut. Alicia Mary Fagan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Alicia Mary Fagan is 1629157615. The last update date is 2012-01-06.
Alicia Mary Fagan's current location address is 51 North Main Street, Southington, Connecticut. You can contact this provider via phone number 8606212280 and fax number 8606280219. The mailing address for Alicia Mary Fagan is 51 North Main Street, Southington, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alicia Mary Fagan |
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Address | 51 North Main Street, Southington, Connecticut |
Phone Number | 8606212280 |
Fax Number | 8606280219 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1629157615 |
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Provider Enumeration Date | 2006-11-02 |
Last Updated Date | 2012-01-06 |
Provider Mailing Address Detail
Address | 51 North Main Street |
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City | Southington |
State | Connecticut (CT) |
Post Code | 6489 |
Phone Number | 8606212280 |
Fax Number | 8606280219 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 422 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4149531 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Alicia Mary Fagan by the Centers for Medicare & Medicaid Services (CMS)?
The Alicia Mary Fagan has been assigned the NPI (National Provider Identifier) 1629157615. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Alicia Mary Fagan is physically located?
The Alicia Mary Fagan is physically situated at the following address: 51 North Main Street, Southington, CT, 6489.
What is Alicia Mary Fagan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alicia Mary Fagan's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629157615 to Alicia Mary Fagan?
The Centers for Medicare & Medicaid Services assigned the 1629157615 to Alicia Mary Fagan on 2006-11-02.
When was the information pertaining to Alicia Mary Fagan most recently updated or revised?
The details related to Alicia Mary Fagan, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-06.
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