Individual
JAQULIN FOWLER HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401016327
MI
101YP2500X
Professional Counselor
Primary
6401018092
MI
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/17/2014
Last updated
07/13/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up