Provider Demographics
NPI:1780797324
Name:HAGOPIAN, MARIAN FRANCES (LMHC)
Entity type:Individual
Prefix:MS
First Name:MARIAN
Middle Name:FRANCES
Last Name:HAGOPIAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-1624
Mailing Address - Country:US
Mailing Address - Phone:978-630-3455
Mailing Address - Fax:978-632-5113
Practice Address - Street 1:10 PARKER ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3866
Practice Address - Country:US
Practice Address - Phone:978-630-4740
Practice Address - Fax:978-630-4765
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4167101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health