person
Mrs. Kimeko Jean Hagen, BS,SAC-IT
Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin
NPI 1508073271

Kimeko Jean Hagen is an Addiction (Substance Use Disorder) Counselor based in Appleton, WI and is specialized in Addiction (Substance Use Disorder). Kimeko Jean Hagen practices in Appleton, WI and has the professional credentials of BS,SAC-IT. The NPI Number for Kimeko Jean Hagen is 1508073271 and holds a License No. 14280-130 (Wisconsin).

The current practice location address for Kimeko Jean Hagen is 4000 W Spencer St, Appleton, WI and can be reached out via phone at 920-735-9010 and via fax at 920-735-9050.

Location: 4000 W Spencer St, Appleton, WI, 54914
person
Provider Profile Details
NPI Number
1508073271
Provider Name
Kimeko Jean Hagen
Credential
BS,SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
4000 W Spencer St, Appleton, WI, 54914
Phone Number
920-735-9010
Fax Number
920-735-9050
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4000 W Spencer St
City
State
Zip
54914-4015
Phone Number
920-735-9010
Fax Number
920-735-9050
person
Provider Business Mailing Address Details
Address
4000 W Spencer St
City
State
Zip
54914-4015
Phone Number
920-735-9010
Fax Number
920-735-9050
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14280-130 (Wisconsin)
Definition
Definition to come...
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