Individual
TABITHA HAGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 S STATE ST STE 6, SAN JACINTO, CA 92583-4924
(951) 654-6002
Mailing address
200 N YALE ST APT 219, HEMET, CA 92544-4719
(951) 581-7751
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC5770
CA
Other
Enumeration date
03/15/2019
Last updated
12/20/2023
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