Provider Demographics
NPI:1851862031
Name:LAGAN, IRENE M (LPC)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:M
Last Name:LAGAN
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 1:3030 ASHLEY TOWN CENTER DR STE 203B
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5678
Mailing Address - Country:US
Mailing Address - Phone:843-779-9563
Mailing Address - Fax:
Practice Address - Street 1:3030 ASHLEY TOWN CENTER DR STE 203B
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5678
Practice Address - Country:US
Practice Address - Phone:843-779-9563
Practice Address - Fax:202-286-8157
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7392101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional