Individual provider · Type 1 NPI
Heidi Alexandra Hagle, MA MFTI
Mental Health Counselor · Camarillo, CA
NPI number
1104203975
Active
Practice location
209 Westpark Ct Unit 405
Camarillo, CA 93012-8444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMF85966 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1104203975
Heidi Alexandra Hagle, MA MFTI's National Provider Identifier is 1104203975, issued on Apr 30, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camarillo, CA. The record was last updated on Apr 30, 2015.