| Matthew Fagan, | |
|
1025 Vinehaven Dr Ne, Concord, NC 28025-2439 | |
| (704) 918-1343 | |
| Not Available |
| Full Name | Matthew Fagan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1025 Vinehaven Dr Ne, Concord, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902782097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | A21759 (North Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | A21759 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Fagan, 4111 Bannockburn Pl Apt E, Charlotte, NC 28211-5558 Ph: (203) 300-3088 | Matthew Fagan, 1025 Vinehaven Dr Ne, Concord, NC 28025-2439 Ph: (704) 918-1343 |
Ms. Amber Medlin Glover, LCSWA, LCAS Counselor Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 Fax: 855-857-7333 | |
Sharonda Patrice Ravenell, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 380 Copperfield Blvd Ne, Concord, NC 28025 Phone: 843-200-7515 | |
Bridgette Jeannine Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Suite 100, Concord, NC 28025 Phone: 704-939-1100 | |
Teresa Mcgee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Copperfield Blvd Ne Ste 105, Concord, NC 28025 Phone: 704-332-9001 Fax: 704-332-0124 | |
Laura Pressley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr Ste 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173 | |
Laurie Ann Pitts, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 845 Church St. North, Concord, NC 28025 Phone: 704-280-0066 | |
Heather Tavella, LPC, LCAS, CS-I, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Concord, NC 28025 Phone: 704-939-1000 |