Provider Demographics
NPI:1043405111
Name:HARGETT, JOANNE C (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:C
Last Name:HARGETT
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 RODEO DR
Mailing Address - Street 2:
Mailing Address - City:TUSCUMBIA
Mailing Address - State:AL
Mailing Address - Zip Code:35674-9301
Mailing Address - Country:US
Mailing Address - Phone:256-702-5172
Mailing Address - Fax:
Practice Address - Street 1:1515 RODEO DR
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:AL
Practice Address - Zip Code:35674-9301
Practice Address - Country:US
Practice Address - Phone:256-702-5172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2070101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional