Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Willaim Thomas Fagan, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588905319

Willaim Thomas Fagan, LPC is an Addiction (Substance Use Disorder) Counselor in Bend, Oregon. Works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1569 SW Nancy Way
Bend, OR 97702-3234
Phone: (541) 617-0377
Fax: (541) 617-0377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 339 Sw Century Dr Ste 201, Bend, OR 97702-1338 — (541) 508-9593
  • 676 Ne Negus Way, Redmond, OR 97756-8527 — (541) 516-4087

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C4302 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R2719 (OR)

Record details

NPI number1588905319
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 4, 2013
Last updated in NPPESAugust 15, 2019

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