Individual provider · Type 1 NPI
Jean Elizabeth Fagan, CADC
Addiction (Substance Use Disorder) Counselor · Dover, DE
NPI number
1184413304
Active
Practice location
4058A Rhode Island Dr
Dover, DE 19901-6334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2356 (DE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1184413304
Jean Elizabeth Fagan, CADC's National Provider Identifier is 1184413304, issued on May 5, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dover, DE. The record was last updated on May 5, 2025.