| NPI | 1326346982 |
|---|---|
| Professional Name | KELLY HAGGERTY |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: ID LMSW-30113) | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2020-10-08 |