Individual
IVEY JEAN HAGWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 S BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4385
(919) 300-4315
Mailing address
2533 BUCKBOARD TRL, ROCKY MOUNT, NC 27804-9120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-23245
NC
101YM0800X
Mental Health Counselor
Primary
A19832
NC
Other
Enumeration date
09/30/2025
Last updated
02/27/2026
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