SearchWisconsinAddiction (Substance Use Disorder) Counselor

Petra Hagen, SAC

NPI 1336979228 · on the registry since 2024 · sole proprietor

Practice

Address
314 N Black River St
Sparta, WI 54656
Phone
(608) 632-2135

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin