Individual
MR. KERRY CARL HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT LPC
Contact information
Practice address
441 N FREDONIA ST, LONGVIEW, TX 75601-6427
(903) 757-6886
(903) 757-6905
Mailing address
PO BOX 3466, LONGVIEW, TX 75606-3466
(903) 757-6886
(903) 757-6905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
16024
TX
106H00000X
Marriage & Family Therapist
Primary
5010
TX
Other
Enumeration date
06/16/2008
Last updated
04/02/2012
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