Organization
NICOLE HAGERTY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HAGERTY LMHC (OWNER)
(360) 901-4816
Entity
Organization
Contact information
Practice address
16513 NE 30TH CT, RIDGEFIELD, WA 98642-8936
(360) 562-0652
Mailing address
16513 NE 30TH CT, RIDGEFIELD, WA 98642-8936
(360) 901-4816
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/15/2019
Last updated
04/05/2024
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