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Mr. David Richardson Hagerty
Addiction (Substance Use Disorder) Counselor in Simi Valley, California
NPI 1295869220

David Richardson Hagerty is an Addiction (Substance Use Disorder) Counselor based in Westlake Village, CA and is specialized in Addiction (Substance Use Disorder). David Richardson Hagerty practices in Simi Valley, CA. The NPI Number for David Richardson Hagerty is 1295869220 and holds a License No. (California).

The current practice location address for David Richardson Hagerty is 3150 E Los Angeles Ave, Simi Valley, CA and can be reached out via phone at 805-577-0830.

Location: 3150 E Los Angeles Ave, Simi Valley, CA, 91362-7171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295869220
Provider Name
David Richardson Hagerty
Credential
Provider Entity Type
Individual
Gender
Male
Address
3150 E Los Angeles Ave, Simi Valley, CA, 91362-7171
Phone Number
805-577-0830
Fax Number
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3150 E Los Angeles Ave
City
Simi Valley
State
California
Zip
93065-3940
Phone Number
805-577-0830
Fax Number
person
Provider Business Mailing Address Details
Address
3150 E Los Angeles Ave
City
Simi Valley
State
California
Zip
93065-3940
Phone Number
805-577-0830
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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