Individual
EDDA BRIANA HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Contact information
Practice address
115 BLOOMINGDALE AVE, WAYNE, PA 19087-4030
(484) 887-8385
Mailing address
4532 WALNUT ST APT B13, PHILADELPHIA, PA 19139-4552
(959) 217-1131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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