Individual provider · Type 1 NPI

Amanda Fagan

Peer Specialist · Williston, ND

NPI number 1528962149 Active

Practice location

316 2nd Ave W
Williston, ND 58801-2005

Call (701) 774-4600 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1528962149

Amanda Fagan's National Provider Identifier is 1528962149, issued on Oct 6, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Williston, ND. The record was last updated on Oct 6, 2026.