Melissa L Fagan in Albuquerque - Professional

Melissa L Fagan - NPI 1235210543

Melissa L Fagan is a Professional in Albuquerque, New Mexico. Melissa L Fagan practices all healthcare services and medical treatments related to Professional. The NPI Number for Melissa L Fagan is 1235210543. The last update date is 2017-04-21.

Melissa L Fagan's current location address is 3901 Louisiana Blvd Ne Ste C, Albuquerque, New Mexico. You can contact this provider via phone number 5058881686 and fax number 5058881683. The mailing address for Melissa L Fagan is 3901 Louisiana Blvd Ne Ste C, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Melissa L Fagan
Address 3901 Louisiana Blvd Ne Ste C, Albuquerque, New Mexico
Phone Number 5058881686
Fax Number 5058881683
Sole Proprietor N
Credentials LMHC

NPI Number Detail

NPI Number 1235210543
Provider Enumeration Date 2006-10-17
Last Updated Date 2017-04-21

Provider Mailing Address Detail

Address 3901 Louisiana Blvd Ne Ste C
City Albuquerque
State New Mexico (NM)
Post Code 871101448
Phone Number 5058881686
Fax Number 5058881683

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 184771
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64079775 NM --

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FAQs about Melissa L Fagan

What is the unique 10-digit identifier code assigned to Melissa L Fagan by the Centers for Medicare & Medicaid Services?

The Melissa L Fagan has been issued the NPI (National Provider Identifier) 1235210543 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Melissa L Fagan is physically located?

The Melissa L Fagan is situated at the following address: 3901 Louisiana Blvd Ne Ste C, Albuquerque, NM 871101448.

What is Melissa L Fagan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Melissa L Fagan is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.

When did Melissa L Fagan receive its 1235210543 assignment?

The Melissa L Fagan was assigned its 1235210543 on 2006-10-17, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Melissa L Fagan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Melissa L Fagan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-21.

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