Individual provider · Type 1 NPI
Eileen Jewell Fagan, MS, NCC
Professional Counselor · Bend, OR
NPI number
1285977553
Active
Practice location
339 SW Century Dr Ste 201
Bend, OR 97702
Mailing address
3616 SW Reindeer Ave
Redmond, OR 97756-7953
Other practice locations
- 2275 NE Doctors Dr, Suite #1, Bend, OR 97701-6324 · (541) 323-5515
- 1569 SW Nancy Way, Bend, OR 97702-3234 · (541) 617-0377
- 339 SW Century Dr Ste 201, Bend, OR 97702 · (541) 508-9354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C4069 (OR) |
Professional Counselor: Definition to come...
4 other providers at this address
- Healing Roots Medicine LLCPrimary Care Clinic/Center Bend, OR NPI 1477051795
- Transformation CounselingProfessional Counselor Bend, OR NPI 1366098261
- Havilah Noel Brodhead, R.N., MSN, FNP-BCPrimary Care Nurse Practitioner Bend, OR NPI 1841584844
- Jeremy Brodhead, N.P.Nurse Practitioner Bend, OR NPI 1801272513
Other professional counselor providers in Bend
- Kimberly M. Richards, LPC, MSProfessional Counselor Bend, OR NPI 1003326109
- Ryan F. Reese, PhDProfessional Counselor Bend, OR NPI 1013202290
- Corey May, MS, LPCProfessional Counselor Bend, OR NPI 1013454206
- Toni BerubeProfessional Counselor Bend, OR NPI 1023118023
- Anthony Liufau, MS, LPCProfessional Counselor Bend, OR NPI 1023427135
- Natalie M. Heidtmann, LPC, MS, CADCIProfessional Counselor Bend, OR NPI 1023488061
- Rosemary Anne Patterson, LPCProfessional Counselor Bend, OR NPI 1033513825
- Sarah N. MullaneProfessional Counselor Bend, OR NPI 1033830955
About NPI 1285977553
Eileen Jewell Fagan, MS, NCC's National Provider Identifier is 1285977553, issued on Apr 4, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Aug 15, 2019.