Individual
FREDERICK HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
821 HUNTINGDON PIKE STE 140, HUNTINGDON VALLEY, PA 19006-8368
(215) 914-4190
Mailing address
3225 FARRAGUT CT, BENSALEM, PA 19020-1822
(215) 378-3392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6366
PA
101YP2500X
Professional Counselor
Primary
PC008449
PA
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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