Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael John Hagan, LMFT131272

Individual provider Marriage & Family Therapist · NPI 1124657408

Michael John Hagan, LMFT131272 is a Marriage and Family Therapist in San Diego, California. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

2469 C St
San Diego, CA 92102-2019
Phone: (619) 565-4494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5060 Shoreham Pl Ste 330, San Diego, CA 92122-5976 — (877) 840-6956

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 131272 (CA)

Record details

NPI number1124657408
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT131272
Sole proprietorYes
NPI enumeratedApril 7, 2020
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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