Individual
ALLISON HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHCA
Contact information
Practice address
818 MADISON ST, ROCKPORT, IN 47635-1241
(812) 649-9168
Mailing address
818 MADISON ST, ROCKPORT, IN 47635-1241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99120862A
IN
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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