Provider Demographics
NPI:1437451085
Name:HASSETT, ROXANN ALLEN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ROXANN
Middle Name:ALLEN
Last Name:HASSETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 LEANING OAKS CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-9225
Mailing Address - Country:US
Mailing Address - Phone:843-469-8299
Mailing Address - Fax:843-881-0858
Practice Address - Street 1:1092 JOHNNIE DODDS BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-6109
Practice Address - Country:US
Practice Address - Phone:843-469-8299
Practice Address - Fax:843-881-0858
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5052101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health