Individual
DANIELLE MARIE HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC, NCC
Contact information
Practice address
4330 GOLF TER STE 207, EAU CLAIRE, WI 54701-4688
(715) 514-0493
(877) 855-2504
Mailing address
4330 GOLF TER STE 207, EAU CLAIRE, WI 54701-4688
(715) 514-0493
(877) 855-2504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16520-131
WI
101YM0800X
Mental Health Counselor
8297-125
WI
101YP2500X
Professional Counselor
Primary
8297-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095629
—
WI
05
—
1750928347
—
WI
Enumeration date
12/03/2019
Last updated
12/09/2025
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