Individual
MR. COLLIN MATTHEW HAGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4005 N LUGANO WAY, FLAGSTAFF, AZ 86004
(214) 600-1732
Mailing address
4005 N LUGANO WAY, FLAGSTAFF, AZ 86004-6835
(214) 600-1732
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-17269
AZ
101YP2500X
Professional Counselor
63989
TX
Other
Enumeration date
09/01/2010
Last updated
07/27/2018
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