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Individual

JASON D HAGLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
420 KELLOGG AVE, AMES, IA 50010-6226
(515) 233-2250
(515) 233-3253
Mailing address
420 KELLOGG AVE, AMES, IA 50010-6226
(515) 233-2250
(515) 233-3253

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10127
IA

Other

Enumeration date
06/20/2011
Last updated
06/20/2011
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