Individual
DESTINI HAGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 CHRYSLER DR STE 1A, DETROIT, MI 48201-2167
(313) 993-3964
(313) 933-3974
Mailing address
29007 MCDONALD ST, WESTLAND, MI 48186-5112
(248) 794-6604
(313) 933-3974
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
02/20/2019
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