Individual provider · Type 1 NPI

David Richardson Hagerty

Addiction (Substance Use Disorder) Counselor · Simi Valley, CA

NPI number 1295869220 Active

Practice location

3150 E Los Angeles Ave
Simi Valley, CA 93065-3940

Call (805) 577-0830 Map

Mailing address

30830 Marseille Way
Westlake Village, CA 91362-7171

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 1295869220

David Richardson Hagerty's National Provider Identifier is 1295869220, issued on Mar 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Simi Valley, CA. The record was last updated on Jul 8, 2007.