person
Jonathon Michael Hagen, RADT
Addiction (Substance Use Disorder) Counselor in Long Beach, California
NPI 1629738943

Jonathon Michael Hagen is an Addiction (Substance Use Disorder) Counselor based in Long Beach, CA and is specialized in Addiction (Substance Use Disorder). Jonathon Michael Hagen practices in Long Beach, CA and has the professional credentials of RADT. The NPI Number for Jonathon Michael Hagen is 1629738943 and holds a License No. R1401480820 (California).

The current practice location address for Jonathon Michael Hagen is 21 Sicilian Walk, Long Beach, CA and can be reached out via phone at 760-579-9865.

Location: 21 Sicilian Walk, Long Beach, CA, 90803-4138
person
Provider Profile Details
NPI Number
1629738943
Provider Name
Jonathon Michael Hagen
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
21 Sicilian Walk, Long Beach, CA, 90803-4138
Phone Number
760-579-9865
Fax Number
Provider Enumeration Date
12/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21 Sicilian Walk
City
State
Zip
90803-4138
Phone Number
760-579-9865
Fax Number
person
Provider Business Mailing Address Details
Address
21 Sicilian Walk
City
State
Zip
90803-4138
Phone Number
760-579-9865
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1401480820 (California)
Definition
Definition to come...
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