Shane Douglas Hagan
Shane Douglas Hagan is an Addiction (Substance Use Disorder) Counselor in Vallejo, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1149 Warren AveVallejo, CA 94591-7512
Phone: (707) 552-5295
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1417619263 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 8, 2021 |
| Last updated in NPPES | October 8, 2021 |
| Certification date | October 8, 2021 |
| Mailing address | 1149 Warren Ave, Vallejo, CA 94591-7512 |
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Isela Gradilla
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