Individual
ANNALYSE HAAGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4747
(651) 213-4888
Mailing address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4747
(651) 213-4888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T17010
IA
101YM0800X
Mental Health Counselor
Primary
4545
MN
Other
Enumeration date
01/24/2018
Last updated
03/24/2026
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