Individual provider · Type 1 NPI

Maria Annunziata Fagan, M.ED, LAC, NCC

Marriage & Family Therapist · Midland Park, NJ

NPI number 1821799487 Active

Practice location

666 Godwin Ave Ste AND330
Midland Park, NJ 07432-1449

Call (551) 319-2029 Map

Mailing address

860 Wyckoff Ave Ste AND303
Mahwah, NJ 07430-3186

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X37AC00710200 (NJ)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1821799487

Maria Annunziata Fagan, M.ED, LAC, NCC's National Provider Identifier is 1821799487, issued on Mar 13, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Midland Park, NJ. The record was last updated on Mar 13, 2023.