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NPI Code Detail

MEDICARE: DEBRA JEAN MUEHL-HAGEMANN SUDCCII

MEDICARE:   DEBRA JEAN MUEHL-HAGEMANN  SUDCCII
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCA

General Provider Information

NPI Number : 1407217052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA JEAN MUEHL-HAGEMANN SUDCCII
Provider Business Mailing Address
First Line : 4281 KATELLA AVE STE 117
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-3590
Country : US
Telephone Number : 562-596-0050
Fax Number : 562-596-0058
Provider Business Practice Location Address
First Line : 4281 KATELLA AVE STE 117
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-3590
Country : US
Telephone Number : 562-596-0050
Fax Number : 562-596-0058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2016
Last Update Date : 01/02/2025

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Directions to “ DEBRA JEAN MUEHL-HAGEMANN SUDCCII” Practice Location

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