Individual
DR. JOHN LESTER VAN HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
35 VICENTE ST, SAN FRANCISCO, CA 94127-1301
(415) 282-1210
(415) 648-9836
Mailing address
4252 25TH ST, SAN FRANCISCO, CA 94114-3619
(415) 282-1210
(415) 648-9836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY4469
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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