Doctor Name: | MRS. TARA MAE HAGAN |
NPI Number: | 1174564892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LPCC |
License Number: | E4007 |
Business Practice Address: | 113 N Ohio Ave Suite 200 Sidney, OH - 453652786 |
Business Phone Number: | 9374924920 |
Business Fax Number: | 9374924945 |
Mailing Address: | 8295 N Mcmaken Rd, COVINGTON |
State: | OH |
Postal Code: | 453189649 |
Phone Number: | 9377737007 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E4007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |