Individual
ALICIA HAGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
3050 BROADWAY ST UNIT 3, BOULDER, CO 80304-3154
(303) 653-2216
Mailing address
3050 BROADWAY ST UNIT 3, BOULDER, CO 80304-3154
(303) 653-2216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0000630
CO
1041C0700X
Clinical Social Worker
09923888
CO
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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