David A Hagen, Chemical Dependency
Counselor, Addiction (Substance Use Disorder) in Taholah, WA. Individual provider (NPI-1).
NPI number1760628937
StatusActive
Last updated in NPPESDec 18, 2008
Details
- NPI
- 1760628937
- Entity type
- Individual (NPI-1)
- Name
- Mr. David A Hagen
- Credential
- Chemical Dependency
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2008
- Last updated
- Dec 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CP00001894 | WA | Yes |
Practice location
1505 Kla-Ook-WaTaholah, WA 98587-0219
Phone 360-276-4405 · Fax 360-276-4474
Mailing address
Po Box 219Taholah, WA 98587-0219
Phone 360-276-4405 · Fax 360-276-4474
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Other Addiction (Substance Use Disorder) Counselor providers in Taholah, WA
- Erica Susanna Jackson, SUDP/TNPI 1558212605
- Mishelle Jackson, SUDPTNPI 1053192377
- Robert J Lagerquist, CHEMICAL DEPENDENCYNPI 1699911875
- Ernie V SanchezNPI 1962771782
All 5 Addiction (Substance Use Disorder) Counselor providers in Taholah · All 31 providers in Taholah
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