Individual provider · Type 1 NPI

Ryan Lee Hagen

Mental Health Counselor · Boston, MA

NPI number 1811257090 Active

Practice location

72 E Dedham St
Boston, MA 02118-2315

Mailing address

230 Bellevue St
Newton, MA 02458-1815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811257090

Ryan Lee Hagen's National Provider Identifier is 1811257090, issued on May 22, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on May 22, 2012.