Individual provider · Type 1 NPI

Anthonyesha Fagan

Mental Health Counselor · Toledo, OH

NPI number 1831514371 Active

Practice location

821 Southbriar Rd
Toledo, OH 43607-2561

Call (419) 279-3433 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Contractor 171W00000X4807696 (OH)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1831514371

Anthonyesha Fagan's National Provider Identifier is 1831514371, issued on Feb 20, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Toledo, OH. The record was last updated on Jun 3, 2025.