Individual provider · Type 1 NPI
Brian J. Fagan
Professional Counselor · Evanston, IL
NPI number
1669013843
Active
Practice location
820 Davis St Ste 222
Evanston, IL 60201-4445
Other practice locations
- 310 W Chicago Ave, Chicago, IL 60654-5106 · (312) 943-6545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180013731 (IL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Professional Counselor: Definition to come...
2 other providers at this address
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- Lesley Renee Reagan, ATR, LCPCProfessional Counselor Evanston, IL NPI 1013458421
- Peter AgostinoProfessional Counselor Evanston, IL NPI 1013568989
- Alicia Kay Hoffman, LCPCProfessional Counselor Evanston, IL NPI 1023381274
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About NPI 1669013843
Brian J. Fagan's National Provider Identifier is 1669013843, issued on Sep 30, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evanston, IL. The record was last updated on Oct 30, 2026.