Individual
MICHAEL ERIC HAGENLOCK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LAC
Contact information
Practice address
201 W MADISON AVE STE 301, BELGRADE, MT 59714-3967
(406) 388-7421
Mailing address
201 W MADISON AVE STE 301, PO BOX 1288, BELGRADE, MT 59714-3967
(406) 388-7421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1154-LAC
MT
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/03/2008
Last updated
12/11/2008
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