Individual
MR. MICHAEL G HAGEDORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
734 W DELAWARE ST STE 217, EVANSVILLE, IN 47710-1667
(812) 499-7950
Mailing address
734 W DELAWARE ST STE 217, EVANSVILLE, IN 47710-1667
(812) 499-7950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001568A
IN
Other
Enumeration date
08/25/2016
Last updated
11/06/2016
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