Individual provider · Type 1 NPI

Gregory Lee Hagen

Addiction (Substance Use Disorder) Counselor · West Covina, CA

NPI number 1205689338 Active

Practice location

1825 E Thelborn St
West Covina, CA 91791-1442

Call (626) 915-3844 Map

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 1205689338

Gregory Lee Hagen's National Provider Identifier is 1205689338, issued on Apr 9, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Covina, CA. The record was last updated on Apr 9, 2024.