| Ms Petra M Hagen, SAC | |
|
314 N Black River St, Sparta, WI 54656-1546 | |
| (608) 632-2135 | |
| Not Available |
| Full Name | Ms Petra M Hagen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 314 N Black River St, Sparta, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336979228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17129-131 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Petra M Hagen, SAC 314 N Black River, Sparta, WI 54656 Ph: (608) 632-2135 | Ms Petra M Hagen, SAC 314 N Black River St, Sparta, WI 54656-1546 Ph: (608) 632-2135 |
Vang Moua, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St, Sparta, WI 54656 Phone: 608-501-1189 | |
Bianka Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 | |
Kimberly Buchanan Krupicka, LCSW CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 West Main Street, Sparta, WI 54656 Phone: 608-269-4132 Fax: 608-269-1017 | |
Troy Harris, BS, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Prairie Ave, Sparta, WI 54656 Phone: 608-633-8065 | |
Genoa Hartmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 | |
Amanda J Falkers, MS, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Black River St Ste 125, Sparta, WI 54656 Phone: 608-501-1189 Fax: 888-928-1124 |