Individual provider · Type 1 NPI
Kimeko Jean Hagen, B.S, SAC-IT
Addiction (Substance Use Disorder) Counselor · Appleton, WI
NPI number
1508073271
Active
Practice location
4000 W Spencer St
Appleton, WI 54914-4015
Fax (920) 735-9050
Mailing address
13 North Greves Court
Appleton, WI 54914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14280-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Appleton
- Trevor Konetzke, SAC-ITAddiction (Substance Use Disorder) Counselor Appleton, WI NPI 1013661131
- Lisa Sauerberg, CSACAddiction (Substance Use Disorder) Counselor Appleton, WI NPI 1023434776
- Holly Schauland, CSACAddiction (Substance Use Disorder) Counselor Appleton, WI NPI 1043980311
- Jennifer L. Castro, SACAddiction (Substance Use Disorder) Counselor Appleton, WI NPI 1043994353
- Ethan William Wilhorn, SAC-ITAddiction (Substance Use Disorder) Counselor Appleton, WI NPI 1053263277
- Samantha Scheuermann, SACITAddiction (Substance Use Disorder) Counselor Appleton, WI NPI 1063226652
- Signa Anders Meyers, LPC, SACAddiction (Substance Use Disorder) Counselor Appleton, WI NPI 1104065150
- Cary Ann Backenger, MS, LPC, CADCIIIAddiction (Substance Use Disorder) Counselor Appleton, WI NPI 1104960376
About NPI 1508073271
Kimeko Jean Hagen, B.S, SAC-IT's National Provider Identifier is 1508073271, issued on May 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Appleton, WI. The record was last updated on Jul 8, 2007.