Individual provider · Type 1 NPI

Jennifer D. Hagan, MA LADC LPCC

Mental Health Counselor · Minneapolis, MN

NPI number 1669177119 Active

Practice location

1132 Central Ave NE
Minneapolis, MN 55413-1512

Fax (612) 236-1701

Mailing address

1160 Colette Pl
St. Paul, MN 55116-2554

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3565 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1669177119

Jennifer D. Hagan, MA LADC LPCC's National Provider Identifier is 1669177119, issued on Apr 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 4, 2023.