Individual provider · Type 1 NPI

Susan Marie Fagan, L.P.C., R.N.

Mental Health Counselor · St. Louis, MO

NPI number 1043468556 Active

Practice location

12125 Woodcrest Executive Dr, Suite 110
St. Louis, MO 63141-5001

Call (314) 275-8599 Map

Mailing address

10820 Sunset Office Dr, Suite 122
St. Louis, MO 63127-1016

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2004032923 (MO)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1043468556

Susan Marie Fagan, L.P.C., R.N.'s National Provider Identifier is 1043468556, issued on Sep 9, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on Oct 20, 2008.