Individual
KENNETH HAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LCDP
Contact information
Practice address
1052 PARK AVE, CRANSTON, RI 02910-3225
(401) 461-5056
Mailing address
1052 PARK AVE, CRANSTON, RI 02910-3225
(401) 461-5056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
02/06/2026
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