Individual
IMANI PATRICE HAGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 S FAIRFAX ST STE 2, ALEXANDRIA, VA 22314-3301
(703) 837-0800
Mailing address
8422 ELECTRIC AVE, VIENNA, VA 22182-5109
(703) 849-1312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009073
VA
Other
Enumeration date
08/04/2017
Last updated
09/12/2025
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