Individual provider · Type 1 NPI

John Hagen

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1063322980 Active

Practice location

5675 W Olympic Blvd
Los Angeles, CA 90036-4712

Call (323) 965-1365 Map

Fax (323) 965-0444

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063322980

John Hagen's National Provider Identifier is 1063322980, issued on Sep 11, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 11, 2026.