Individual provider · Type 1 NPI

Vickie Jean Hagan, M.A., LPC, CSOPT

Professional Counselor · Leesburg, VA

NPI number 1053656629 Active

Practice location

21 Fort Evans Rd NE Ste B
Leesburg, VA 20176-4488

Call (703) 443-6917 Map

Mailing address

P.o. Box 4696
Winchester, VA 22604

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701005378 (VA)
Professional Counselor 101YP2500XC2976 (OR)

Professional Counselor: Definition to come...

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About NPI 1053656629

Vickie Jean Hagan, M.A., LPC, CSOPT's National Provider Identifier is 1053656629, issued on Dec 7, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Leesburg, VA. The record was last updated on Dec 7, 2012.