Organization
A CLOSER LOOK COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY HAGEN LCSW (OWNER/PRACTITIONER)
(541) 708-1235
Entity
Organization
Contact information
Practice address
631 SPRING CREEK DR, ASHLAND, OR 97520-1454
(541) 708-1235
(541) 708-0676
Mailing address
631 SPRING CREEK DR, ASHLAND, OR 97520-1454
(541) 708-0676
(541) 708-0676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5251
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962775320
OWNER/PRACTITIONER NPI
OR
Enumeration date
12/16/2013
Last updated
12/18/2013
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