Individual
JENNIFER D HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LADC LPCC
Contact information
Practice address
1132 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1512
(612) 902-6009
(612) 236-1701
Mailing address
1160 COLETTE PL, SAINT PAUL, MN 55116-2554
(651) 690-0451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3565
MN
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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