DANIELLE MARIE HAGEDORN MS LPC SAC NCC NPI 1750928347

NPI Information

NPI: 1750928347
Provider Name: DANIELLE MARIE HAGEDORN, MS, LPC, SAC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1101 W CLAIREMONT AVE STE 1E4
EAU CLAIRE, WI
ZIP 54701
Phone: (156) 024-3217
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Danielle Marie Hagedorn, MS, LPC, SAC, NCC is a mental health counselor in Eau Claire, WI. Danielle Marie Hagedorn, MS, LPC, SAC, NCC NPI is 1750928347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 W CLAIREMONT AVE STE 1E4
EAU CLAIRE, WI
ZIP 54701-254
Phone: (156) 024-3217
Fax: (877) 855-2504

The enumeration date for this NPI number is 12/3/2019 and was last updated on 11/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	8297-125	WISCONSIN	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16520-131	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1750928347	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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