Individual
JEFFREY HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8302 OLD YORK RD, SUITE #12, ELKINS PARK, PA 19027-1522
(215) 885-9700
(215) 886-7678
Mailing address
972 N RANDOLPH ST, PHILADELPHIA, PA 19123-1408
(267) 255-4272
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008862
PA
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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