person
Mr. David A Hagen, CHEMICALDEPENDENCY
Addiction (Substance Use Disorder) Counselor in Taholah, Washington
NPI 1760628937

David A Hagen is an Addiction (Substance Use Disorder) Counselor based in Taholah, WA and is specialized in Addiction (Substance Use Disorder). David A Hagen practices in Taholah, WA and has the professional credentials of CHEMICALDEPENDENCY. The NPI Number for David A Hagen is 1760628937 and holds a License No. CP00001894 (Washington).

The current practice location address for David A Hagen is 1505 Kla-Ook-Wa, Taholah, WA and can be reached out via phone at 360-276-4405 and via fax at 360-276-4474.

Location: 1505 Kla-Ook-Wa, Taholah, WA, 98587-0219
person
Provider Profile Details
NPI Number
1760628937
Provider Name
David A Hagen
Credential
CHEMICALDEPENDENCY
Provider Entity Type
Individual
Gender
Male
Address
1505 Kla-Ook-Wa, Taholah, WA, 98587-0219
Phone Number
360-276-4405
Fax Number
360-276-4474
Provider Enumeration Date
12/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992817 05 WA
institution
Provider Business Practice Location Address Details
Address
1505 Kla-Ook-Wa
City
State
Zip
98587-0219
Phone Number
360-276-4405
Fax Number
360-276-4474
person
Provider Business Mailing Address Details
Address
1505 Kla-Ook-Wa
City
State
Zip
98587-0219
Phone Number
360-276-4405
Fax Number
360-276-4474
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00001894 (Washington)
Definition
Definition to come...
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