SHANE DOUGLAS HAGAN

VALLEJO, CA
NPI1417619263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-10-08
Last Update Date2021-10-08
Business Address
SHANE DOUGLAS HAGAN
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
Mailing Address
SHANE DOUGLAS HAGAN
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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