Provider Demographics
NPI:1609101856
Name:JAGGARS, CATHY A
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:A
Last Name:JAGGARS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 PAVILLON PL
Mailing Address - Street 2:
Mailing Address - City:MILL SPRING
Mailing Address - State:NC
Mailing Address - Zip Code:28756-5809
Mailing Address - Country:US
Mailing Address - Phone:828-694-2300
Mailing Address - Fax:828-694-2327
Practice Address - Street 1:125 PELHAM COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4974
Practice Address - Country:US
Practice Address - Phone:864-241-6688
Practice Address - Fax:864-241-6682
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)