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SHANE DOUGLAS HAGAN
NPI 1417619263
Counselor - Addiction (Substance Use Disorder) in Vallejo, CA

Active since October 08, 2021
1149 WARREN AVE, VALLEJO, CA 94591(707) 552-5295 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane Douglas Hagan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE DOUGLAS HAGAN (NPI 1417619263) is an individual addiction (substance use disorder) provider in Vallejo, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1417619263
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHANE DOUGLAS HAGAN
Location Address1149 WARREN AVEVallejo, CA 94591-7512
Mailing Address1149 Warren AveVallejo, CA 94591-7512 · (707) 552-5295
Phone(707) 552-5295
Sole ProprietorNo
Enumeration DateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1417619263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1149 WARREN AVE, Vallejo, CA 94591
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESIREE LOUCILLE MEFFORD
Counselor
1149 WARREN AVE
VALLEJO, CA 94591
Solano County (707) 552-5295
DORIS MESA MENDIOLA CATC 7337-R
Counselor (Addiction (Substance Use Disorder))
1149 WARREN AVE
VALLEJO, CA 94591
Solano County (707) 552-5295
MR. JOEL LEE RYAN CATC
Counselor (Addiction (Substance Use Disorder))
1149 WARREN AVE
VALLEJO, CA 94591
Solano County (707) 552-5295
BLAKE M DUNHAM
Counselor (Addiction (Substance Use Disorder))
1149 WARREN AVE
VALLEJO, CA 94591
Solano County (707) 552-5295
ANDREA MARIE ROBERTSON RADT1
Counselor
1149 WARREN AVE
VALLEJO, CA 94591
Solano County (707) 552-5295
MICHAEL WAYNE-SENSES RICHARDSON
Counselor (Addiction (Substance Use Disorder))
1149 WARREN AVE
VALLEJO, CA 94591
Solano County (707) 552-5295
MR. JAUN ANTONIO LEDEZMA JR.
Counselor (Professional)
1149 WARREN AVE
VALLEJO, CA 94591
Solano County (707) 552-5295
MS. CHERYL ALEASE BILEY N/A
Counselor (Addiction (Substance Use Disorder))
1149 WARREN AVE
VALLEJO, CA 94591
Solano County (707) 552-5295

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Hagan's NPI number?

The NPI number for Shane Hagan is 1417619263. It was assigned to this individual provider in the NPPES registry on October 8, 2021.

Where is Shane Hagan located?

Shane Hagan practices at 1149 Warren Ave, Vallejo, CA 94591. The listed phone number is (707) 552-5295.

What is Shane Hagan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shane Hagan was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.