Individual
DENAE HAAGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC, NCC, LP
Contact information
Practice address
412 DEMERS AVE, GRAND FORKS, ND 58201
(701) 271-1632
(701) 235-7359
Mailing address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 271-1613
(701) 235-7359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1005-5-15-19
ND
101YM0800X
Mental Health Counselor
CC01782
MN
101YP2500X
Professional Counselor
Primary
1005-5-15-19
ND
Other
Enumeration date
05/08/2017
Last updated
03/18/2020
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