Individual
KARLENE HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
20 PAGE DR, PINEHURST, NC 28374-8847
(910) 621-2937
Mailing address
20 PAGE DR, PINEHURST, NC 28374-8847
(910) 621-2937
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-27175
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15163469
—
NC
Enumeration date
06/09/2021
Last updated
06/09/2021
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