Individual provider · Type 1 NPI

Chartyise Fagan, M.A., LPC

Professional Counselor · Toledo, OH

NPI number 1114702081 Active

Practice location

5726 Southwyck Blvd
Toledo, OH 43614-1559

Call (419) 705-8597 Map

Mailing address

722 Fernwood Ave
Toledo, OH 43604-8032

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.2606106 (OH)

Professional Counselor: Definition to come...

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About NPI 1114702081

Chartyise Fagan, M.A., LPC's National Provider Identifier is 1114702081, issued on Aug 29, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Toledo, OH. The record was last updated on Jun 18, 2026.