Individual
JOHN HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1813 SUMNER AVE, ABERDEEN, WA 98520-4600
(360) 538-1461
(360) 537-4202
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005183
WA
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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