Individual
MRS. TARA MAE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPCC-S
Contact information
Practice address
405 PUBLIC SQ STE 255, TROY, OH 45373-3298
(937) 216-5290
Mailing address
405 PUBLIC SQ STE 255, TROY, OH 45373-3298
(937) 216-5290
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E4007
OH
Other
Enumeration date
06/10/2006
Last updated
02/01/2022
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