Individual provider · Type 1 NPI
David A. Hagen, CHEMICAL DEPENDENCY
Addiction (Substance Use Disorder) Counselor · Taholah, WA
NPI number
1760628937
Active
Practice location
1505 Kla-Ook-Wa
Taholah, WA 98587-0219
Fax (360) 276-4474
Mailing address
PO Box 219
Taholah, WA 98587-0219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP00001894 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1760628937
David A. Hagen, CHEMICAL DEPENDENCY's National Provider Identifier is 1760628937, issued on Dec 18, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Taholah, WA. The record was last updated on Dec 18, 2008.