Hagan, Kerry Carl

Hagan, Kerry Carl is an sole proprietor health care provider with primary practice located at 441 N Fredonia St , Longview TX 75601-6427. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Hagan, Kerry Carl can be contacted via phone (903) 757-6886.

Contact Information

Primary practice address
441 N Fredonia St Longview TX 75601-6427
Phone: (903) 757-6886
Fax: (903) 757-6905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 16024 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 5010 Texas

Profile Details

NPI number 1700046497
LBN Legal business name Hagan, Kerry Carl
Credentials LMFT LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2008
Last updated Apr 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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