Individual
HEATHER LEE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAAR
Contact information
Practice address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6157
(360) 567-2211
(360) 567-2212
Mailing address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6157
(360) 567-2211
(360) 567-2212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60882921
WA
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107633
—
WA
Enumeration date
09/07/2018
Last updated
06/11/2020
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