Individual
KAITLIN HEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5861 CHERRY AVE, LONG BEACH, CA 90805-4405
(562) 676-4259
Mailing address
5861 CHERRY AVE, LONG BEACH, CA 90805-4405
(562) 676-4259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
107654
CA
Other
Enumeration date
08/19/2021
Last updated
11/13/2023
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