Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathon Michael Hagen, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629738943

Jonathon Michael Hagen, RADT is an Addiction (Substance Use Disorder) Counselor in Long Beach, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

21 Sicilian Walk
Long Beach, CA 90803-4138
Phone: (760) 579-9865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence A060791221 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R1401480820 (CA)

Record details

NPI number1629738943
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedDecember 28, 2021
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021

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