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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KERRY CARL HAGAN, LMFT LPC

Active Sole Proprietor

Marriage & Family Therapist · LONGVIEW, TX

Registration Details

NPI Number
1700046497
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2008 (17.857818408583 yrs)
Last Updated
Apr 2, 2012
Licenses
16024 (TX)
5010 (TX)
Sole Proprietor
Yes

Practice Information

Address
441 N FREDONIA ST
LONGVIEW, TX, 756016427
Browse TX providers · Browse ZIP 75601
Phone
9037576886
Fax
9037576905
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in LONGVIEW, TX

Name Credential NPI
MRS. MARY BOB SMITH LPC 1477565422
MRS. BEVERLY BLAINE CHRISTIANSEN LMFT, LPC 1851407936
PHILIP WAYLAND ARMOUR LPC, LMFT 1699868018
MR. EDWARD MACK GOOCH LPC LMFT 1295897502
MARSHA JACKSON LMFT 1861690190
MRS. YELENA DEBENEDETTO LMFT 1750550828
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.