Individual
DR. BRENT ANDREW HAAGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7582 CURRELL BLVD STE 208, WOODBURY, MN 55125-2471
(651) 262-5475
Mailing address
618 ADAMS ST NE # 2, MINNEAPOLIS, MN 55413-2144
(612) 720-7451
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP6725
MN
103TC1900X
Counseling Psychologist
Primary
LP6725
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/14/2021
Last updated
12/01/2021
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