| A Fagan Counseling Services Llc | |
|
180 W Michigan Ave Ste 802 Jackson MI 49201-1300 | |
| (517) 201-5790 | |
| Not Available |
| Full Name | A Fagan Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 180 W Michigan Ave Ste 802, Jackson, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Fagan Counseling Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | A Fagan Counseling Services Llc 180 W Michigan Ave Ste 802 Jackson MI 49201-1300 Ph: (517) 201-5790 |
| NPI Number | 1881422277 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 8426597196 |
|---|---|
| Medicare Enrollment ID | O20240826002412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881422277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Alexandria Fagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992534085 PECOS PAC ID: 9335688001 Enrollment ID: I20240826002584 |
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