SAUNDRA V FAGAN


Address: 644 Monroe St, Brooklyn, NY 11221-2208
Phone: 9177095837

SAUNDRA V FAGAN (NPI# 1801157946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801157946
Entity Type Individual
Full Name SAUNDRA V FAGAN
Practice Address 644 Monroe St
Brooklyn
NY 11221-2208
Practice Telephone 9177095837
Mailing Telephone 9177095837
Enumeration Date 2012-06-05
Last Update Date 2012-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 644 MONROE ST
City BROOKLYN
State NY
Zip Code 11221-2208

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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1366960833 Sarah Elizabeth Das Counselor 111 Steuben St Apt 4c, Brooklyn, NY 11205-2645 2017-09-06
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Competitor

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City BROOKLYN
Zip Code 11221

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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