Kerry Carl Hagan in Longview - Marriage & Family Therapist
Kerry Carl Hagan - NPI 1700046497
Kerry Carl Hagan is a Marriage & Family Therapist in Longview, Texas. Kerry Carl Hagan practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kerry Carl Hagan is 1700046497. The last update date is 2012-04-02.
Kerry Carl Hagan's current location address is Po Box 3466, Longview, Texas. You can contact this provider via phone number 9037576886 and fax number 9037576905. The mailing address for Kerry Carl Hagan is Po Box 3466, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Carl Hagan |
|---|---|
| Address | Po Box 3466, Longview, Texas |
| Phone Number | 9037576886 |
| Fax Number | 9037576905 |
| Sole Proprietor | Y |
| Credentials | LMFT LPC |
NPI Number Detail
| NPI Number | 1700046497 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2012-04-02 |
Provider Mailing Address Detail
| Address | Po Box 3466 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756063466 |
| Phone Number | 9037576886 |
| Fax Number | 9037576905 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 5010 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Post Comment/ Review Below
What is the Kerry Carl Hagan's 1700046497?
The Kerry Carl Hagan's NPI (National Provider Identifier) Number is 1700046497. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kerry Carl Hagan is located?
The Kerry Carl Hagan is situated at the following address: Po Box 3466, Longview, TX, 756063466.
What is Kerry Carl Hagan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kerry Carl Hagan is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700046497 to Kerry Carl Hagan?
The Centers for Medicare & Medicaid Services originally issued the 1700046497 to Kerry Carl Hagan on 2008-06-16.
When was the information regarding Kerry Carl Hagan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kerry Carl Hagan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-04-02.
NPI Number: 1972505162
Address: 1237 Salem Gate Drive, Conyers, GA