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Individual

MS. JULIA MARIE HAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CP 60145139

Contact information

Practice address
24823 PACIFIC HWY S STE 103, KENT, WA 98032-5478
(253) 681-0010
(253) 681-0014
Mailing address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6750
(206) 257-6825

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60145139
WA
101YM0800X
Mental Health Counselor
CG61389518
WA

Other

Enumeration date
05/12/2016
Last updated
06/08/2023
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