Provider Demographics
NPI:1710303565
Name:HAGER, LAUREL LEE (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:LEE
Last Name:HAGER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MS
Other - First Name:LEE
Other - Middle Name:
Other - Last Name:HAGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC
Mailing Address - Street 1:220 W UNION ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3764
Mailing Address - Country:US
Mailing Address - Phone:828-475-6544
Mailing Address - Fax:
Practice Address - Street 1:220 W UNION ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3764
Practice Address - Country:US
Practice Address - Phone:828-475-6544
Practice Address - Fax:828-475-6545
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9279101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA9279OtherLICENSE