Individual provider · Type 1 NPI

Hagan Black

Mental Health Counselor · West Hollywood, CA

NPI number 1497479596 Active

Practice location

9024 Harratt St
West Hollywood, CA 90069-3804

Call (323) 640-5282 Map

Mailing address

451 Inverness Dr
La Canada Flintridge, CA 91011-4144

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCI36260822 (CA)
Mental Health Counselor Primary 101YM0800XCI36260822 (CA)

Mental Health Counselor: Definition to come...

Another provider at this address

Other mental health counselor providers in West Hollywood

See all in West Hollywood →

About NPI 1497479596

Hagan Black's National Provider Identifier is 1497479596, issued on Oct 3, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Hollywood, CA. The record was last updated on Oct 6, 2022.