Individual provider · Type 1 NPI
Kerry Carl Hagan, LMFT LPC
Marriage & Family Therapist · Longview, TX
Practice location
441 N Fredonia St
Longview, TX 75601-6427
Fax (903) 757-6905
Mailing address
PO Box 3466
Longview, TX 75606-3466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 16024 (TX) |
| Marriage & Family Therapist Primary | 106H00000X | 5010 (TX) |
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 1700046497
Kerry Carl Hagan, LMFT LPC's National Provider Identifier is 1700046497, issued on Jun 16, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Longview, TX. The record was last updated on Apr 2, 2012.