Individual
MRS. CHRISTINA MARIE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 N WEINBACH AVE STE 720, EVANSVILLE, IN 47711-5977
(812) 431-2710
Mailing address
600 N WEINBACH AVE, EVANSVILLE, IN 47711-5909
(812) 431-2710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
34006633A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200484820
—
IN
Enumeration date
10/03/2006
Last updated
02/12/2019
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