Individual provider · Type 1 NPI

Adam Davis Bagley, LMFT

Marriage & Family Therapist · Canton, GA

NPI number 1639430069 Active

Practice location

24 Waleska St Ste 100
Canton, GA 30114-2739

Mailing address

PO Box 4426
Canton, GA 30114-0200

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT001240 (GA)

Marriage & Family Therapist: 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 supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1639430069

Adam Davis Bagley, LMFT's National Provider Identifier is 1639430069, issued on Jun 1, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Canton, GA. The record was last updated on Jun 1, 2012.