Individual provider · Type 1 NPI
Matthew Paul Fagan Jr., M.S., LPC-ASSOCIATE
Mental Health Counselor · Austin, TX
NPI number
1336011535
Active
Practice location
7605 Mesa Dr
Austin, TX 78731-1310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 97789 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1336011535
Matthew Paul Fagan Jr., M.S., LPC-ASSOCIATE's National Provider Identifier is 1336011535, issued on Sep 18, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Sep 18, 2025.