Provider Demographics
NPI:1619722907
Name:DAGGS, STEVEN J (LCADC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:DAGGS
Suffix:
Gender:M
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5147
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21802-5147
Mailing Address - Country:US
Mailing Address - Phone:410-845-7094
Mailing Address - Fax:
Practice Address - Street 1:411 WOODVIEW SQ APT H
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-2908
Practice Address - Country:US
Practice Address - Phone:410-845-7094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA3330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health