Individual
DR. TED W HAGEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMIN PHD
Contact information
Practice address
1201 N WILCOX DR STE C, KINGSPORT, TN 37660-4986
(423) 765-6276
Mailing address
1201 N WILCOX DR STE C, KINGSPORT, TN 37660-4986
(423) 765-6276
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0000069
TN
Other
Enumeration date
04/04/2006
Last updated
07/20/2025
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