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Individual

MRS. ANNA B HAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., ED.S.

Contact information

Practice address
441 CLAY ST, KINGSPORT, TN 37660-3693
(423) 218-2275
(423) 247-1117
Mailing address
4550 OLD STAGE RD, KINGSPORT, TN 37664-2939
(423) 218-2275
(423) 247-1117

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 9820
FL
101YP2500X
Professional Counselor
Primary
LPC0000002588
TN
106H00000X
Marriage & Family Therapist

Other

Enumeration date
10/25/2010
Last updated
10/25/2010
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