Provider Demographics
NPI:1003311622
Name:HAGAR, JOSHUA STEELE (MS, LCPC, LCMHC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:STEELE
Last Name:HAGAR
Suffix:
Gender:M
Credentials:MS, LCPC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 PUNKY PARK WAY
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-5153
Mailing Address - Country:US
Mailing Address - Phone:978-846-7144
Mailing Address - Fax:
Practice Address - Street 1:1 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4391
Practice Address - Country:US
Practice Address - Phone:978-846-7144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4966101YM0800X
MECC5792101YM0800X
NH2382101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEXL4966OtherBEHAVIORAL HEALTH & SOCIAL SERVICES PROFESSIONAL