Fagan Psychotherapy Pllc

NPI #1104511104 in Evanston, Illinois

Provider Information

NPI Number
1104511104
Entity Type
Organization
Organization Name
Fagan Psychotherapy Pllc
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 6, 2023
Last Updated
Apr 6, 2023

Practice Location

Address
2605 PRAIRIE AVE APT 18
ZIP Code
60201-1496
Phone
(312) 385-9620

Authorized Official

Name
BRIAN FAGAN
Title
OWNER
Phone
(312) 385-9620

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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