Individual provider · Type 1 NPI

Bonnie Lou Fagan

Mental Health Counselor · Fremont, CA

NPI number 1366675753 Active

Practice location

40950 Chapel Way
Fremont, CA 94538-4236

Call (510) 226-6180 Map

Fax (510) 226-6352

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1366675753

Bonnie Lou Fagan's National Provider Identifier is 1366675753, issued on Sep 1, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fremont, CA. The record was last updated on Sep 1, 2009.