Individual
BREANA NICOLE HAGAN
Active
Individual
BREANA NICOLE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
59866
CA
104100000X
Social Worker
59866
CA
1041C0700X
Clinical Social Worker
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/09/2013
Last updated
07/17/2020
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