Individual provider · Type 1 NPI
Jaqulin Fowler Hagedorn, MA, LPC
Professional Counselor · Burton, MI
NPI number
1356745467
Active
Practice location
1501 S Center Rd
Burton, MI 48509-1731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | None listed |
| Counselor | 101Y00000X | 6401016327 (MI) |
| Professional Counselor Primary | 101YP2500X | 6401018092 (MI) |
Professional Counselor: Definition to come...
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About NPI 1356745467
Jaqulin Fowler Hagedorn, MA, LPC's National Provider Identifier is 1356745467, issued on Oct 17, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Burton, MI. The record was last updated on Jul 13, 2026.