MR. David A Hagen, CHEMICAL DEPENDENCY
NPI #1760628937 in Taholah, Washington
Provider Information
- NPI Number
- 1760628937
- Entity Type
- Individual
- Name
- MR. David A Hagen, CHEMICAL DEPENDENCY
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CHEMICAL DEPENDENCY
- Enumeration Date
- Dec 18, 2008
- Last Updated
- Dec 18, 2008
Practice Location
- Address
- 1505 KLA-OOK-WA
- City
- Taholah
- State
- Washington
- ZIP Code
- 98587-0219
- Phone
- (360) 276-4405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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