Individual
CHARITY KAY HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1321 13TH ST N, ST. CLOUD, MN 56303
(320) 252-5010
(320) 203-1855
Mailing address
1321 13TH ST N, ST. CLOUD, MN 56303
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302052
MN
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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