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Ms. Beverly Jean Hagen
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1861512287

Beverly Jean Hagen is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Beverly Jean Hagen practices in Modesto, CA. The NPI Number for Beverly Jean Hagen is 1861512287 and holds a License No. (California).

The current practice location address for Beverly Jean Hagen is 801 11Th Street, Modesto, CA and can be reached out via phone at 209-567-4153.

Location: 801 11Th Street, Modesto, CA, 95350-0193
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861512287
Provider Name
Beverly Jean Hagen
Credential
Provider Entity Type
Individual
Gender
Female
Address
801 11Th Street, Modesto, CA, 95350-0193
Phone Number
209-567-4153
Fax Number
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
801 11Th Street
City
Modesto
State
California
Zip
95354-2324
Phone Number
209-567-4153
Fax Number
person
Provider Business Mailing Address Details
Address
801 11Th Street
City
Modesto
State
California
Zip
95354-2324
Phone Number
209-567-4153
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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