NPI 1023852530

Rudolph Hagwood

Practitioner Professional Counselor Bridgeport, CT

Practice location

Address: 1635 Fairfield Ave, Bridgeport, CT 06605-1984
Phone: (203) 335-3518
Fax: (203) 382-5589
Mailing address: 115 Long Hill Ter, New Haven, CT 06515-1850

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Other Counselor providers in Connecticut →

Registry record

NPI: 1023852530
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2024
Record last updated: 20 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.