Individual
MS. KELLY LYNN HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
520 E MAXWELL ST, LEXINGTON, KY 40502-6432
(859) 233-3390
(859) 243-9906
Mailing address
1712 BROOK PARK DR, LEXINGTON, KY 40515-1307
(859) 271-9253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY 0280
KY
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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