Organization
COLLIN HAGOOD, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN MATTHEW HAGOOD LPC (PRESIDENT)
(903) 821-3630
Entity
Organization
Contact information
Practice address
2608 STATE ST, DALLAS, TX 75204-2600
(903) 821-3630
Mailing address
2608 STATE ST, DALLAS, TX 75204-2600
(903) 821-3630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63989
TX
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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