Eileen Jewell Fagan, MS, NCC

NPI #1285977553 in Bend, Oregon

Provider Information

NPI Number: 1285977553
Entity Type: Individual
Name: Eileen Jewell Fagan, MS, NCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MS, NCC
Enumeration Date: Apr 4, 2013
Last Updated: Aug 15, 2019

Practice Location

Address: 339 SW CENTURY DR STE 201
City: Bend
State: Oregon
ZIP Code: 97702
Phone: (541) 508-9354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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