| Hagan Black, | |
|
9024 Harratt St, West Hollywood, CA 90069-3804 | |
| (323) 640-5282 | |
| Not Available |
| Full Name | Hagan Black |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 9024 Harratt St, West Hollywood, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497479596 | NPI | - | NPPES |
| 11818 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CI36260822 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | CI36260822 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Hagan Black, 451 Inverness Dr, La Canada Flintridge, CA 91011-4144 Ph: (323) 640-5282 | Hagan Black, 9024 Harratt St, West Hollywood, CA 90069-3804 Ph: (323) 640-5282 |
Scott Dinsmoor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8285 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 323-377-9142 | |
Mr. Calvin Stedfone Mcdonald Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 7235 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 213-669-2560 | |
Alexandra Kettner Victor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8739 Santa Monica Blvd, West Hollywood, CA 90069 Phone: 310-623-1477 Fax: 310-854-0134 | |
Ms. Tina Michelle Burton, SURDC#15867 Counselor Medicare: Not Enrolled in Medicare Practice Location: 7235 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 213-584-4445 | |
Christopher Antony Kilbourne, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1014 N Gardner St, West Hollywood, CA 90046 Phone: 323-252-8824 | |
Brooke M Terry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1031 N Crescent Heights Blvd Apt 1e, West Hollywood, CA 90046 Phone: 601-383-1985 | |
Megan Elizabeth Rotunno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7235 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 213-584-4445 |