person
Shane Douglas Hagan
Addiction (Substance Use Disorder) Counselor in Vallejo, California
NPI 1417619263

Shane Douglas Hagan is an Addiction (Substance Use Disorder) Counselor based in Vallejo, CA and is specialized in Addiction (Substance Use Disorder). Shane Douglas Hagan practices in Vallejo, CA. The NPI Number for Shane Douglas Hagan is 1417619263 and holds a License No. (California).

The current practice location address for Shane Douglas Hagan is 1149 Warren Ave, Vallejo, CA and can be reached out via phone at 707-552-5295.

Location: 1149 Warren Ave, Vallejo, CA, 94591-7512
person
Provider Profile Details
NPI Number
1417619263
Provider Name
Shane Douglas Hagan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1149 Warren Ave, Vallejo, CA, 94591-7512
Phone Number
707-552-5295
Fax Number
Provider Enumeration Date
10/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1149 Warren Ave
City
State
Zip
94591-7512
Phone Number
707-552-5295
Fax Number
person
Provider Business Mailing Address Details
Address
1149 Warren Ave
City
State
Zip
94591-7512
Phone Number
707-552-5295
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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