Provider Demographics
NPI:1245569334
Name:HAGGERTY, FRAN KLEINSTUB (LPC)
Entity Type:Individual
Prefix:MS
First Name:FRAN
Middle Name:KLEINSTUB
Last Name:HAGGERTY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:FRANCINE
Other - Middle Name:LEVINE
Other - Last Name:KLEINSTUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED LPC
Mailing Address - Street 1:2430 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-5250
Mailing Address - Country:US
Mailing Address - Phone:520-882-0090
Mailing Address - Fax:520-882-6821
Practice Address - Street 1:2430 E 6TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-5250
Practice Address - Country:US
Practice Address - Phone:520-882-0090
Practice Address - Fax:520-882-6821
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC0170101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional