Individual provider · Type 1 NPI

Cory Fagin

Mental Health Counselor · Bend, OR

NPI number 1386109155 Active

Practice location

1039 NW Jacksonville Ave
Bend, OR 97703-2345

Call (513) 709-4106 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386109155

Cory Fagin's National Provider Identifier is 1386109155, issued on Feb 6, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Feb 6, 2019.