Individual provider · Type 1 NPI

Dan Fagerness

Mental Health Counselor · Centralia, WA

NPI number 1356875371 Active

Practice location

2428 W Reynolds Ave
Centralia, WA 98531-4554

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1356875371

Dan Fagerness's National Provider Identifier is 1356875371, issued on Apr 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, WA. The record was last updated on Apr 17, 2017.