Individual
JENA HAGGITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, BS
Contact information
Practice address
1901 44TH AVE N, MINNEAPOLIS, MN 55412-1209
(612) 677-2671
(612) 767-6603
Mailing address
1316 BOARDWALK AVE, MINNEAPOLIS, MN 55411-3364
(262) 894-1089
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303684
MN
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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