Individual
SHARON LOUISE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
16001 W 9 MILE RD, DEPT OF BEHAVORIAL SERVICES, SOUTHFIELD, MI 48075-4818
(248) 849-3306
(248) 849-5378
Mailing address
27600 W 12 MILE RD, FARMINGTON HILLS, MI 48334-4204
(248) 851-7144
(248) 626-5283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401008255
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178002051
LICENSED PROF. COUNSELOR
IL
01
—
6401008255
BOARD OF COUNSELING
MI
Enumeration date
07/13/2005
Last updated
03/05/2015
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