Kimeko Jean Hagen, B.S, SAC-IT
Counselor, Addiction (Substance Use Disorder) in Appleton, WI. Individual provider (NPI-1).
NPI number1508073271
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1508073271
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimeko Jean Hagen
- Credential
- B.S, SAC-IT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 14280-130 | WI | Yes |
Practice location
4000 W Spencer StAppleton, WI 54914-4015
Phone 920-735-9010 · Fax 920-735-9050
Mailing address
13 North Greves CourtAppleton, WI 54914
Phone 920-993-9661
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Other Addiction (Substance Use Disorder) Counselor providers in Appleton, WI
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- Elyse AllarNPI 1730515727
- Eric Allen, SAC-ITNPI 1598543431
- Arianna Kathleen Amend, SAC-ITNPI 1891296174
- Star AmesNPI 1184448466
- Brandi Andrews, CSACNPI 1225780414
- Cary Ann Backenger, MS, LPC, CADCIIINPI 1104960376
- Mary Bahr, SACITNPI 1841616596
- Maria BarreraNPI 1972424323
- Ashley BehlingNPI 1477878551
All 92 Addiction (Substance Use Disorder) Counselor providers in Appleton · All 4,063 providers in Appleton
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