Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. PETRA M HAGEN, SAC
Active Sole ProprietorMS. PETRA M HAGEN, SAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SPARTA, Wisconsin. NPI 1336979228 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SPARTA, WI
Registration Details
- NPI Number
- 1336979228
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2024 (1.9980490197337 yrs)
- Last Updated
- Aug 5, 2024
- License
-
17129-131 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
314 N BLACK RIVER STSPARTA, WI, 546561546Browse WI providers · Browse ZIP 54656
- Phone
- 6086322135
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SPARTA, WI
| Name | Credential | NPI |
|---|---|---|
| EMILY M NOLTE | CSAC | 1801223003 |
| TROY HARRIS | BS, SAC-IT | 1356833495 |
| MOLLY C SKINNER | LPC-IT AND SAC-IT | 1780152603 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.