Provider Demographics
NPI:1295574150
Name:HAGER, PEYTON RAYNE (MA, MHP)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:RAYNE
Last Name:HAGER
Suffix:
Gender:F
Credentials:MA, MHP
Other - Prefix:
Other - First Name:LUNA
Other - Middle Name:RAYNE
Other - Last Name:HAGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, MHP
Mailing Address - Street 1:4120 MERIDIAN ST STE 280
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6472
Mailing Address - Country:US
Mailing Address - Phone:360-831-4026
Mailing Address - Fax:
Practice Address - Street 1:4120 MERIDIAN ST STE 280
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6472
Practice Address - Country:US
Practice Address - Phone:360-831-4026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor