Hagedorn, Jaqulin Fowler

Hagedorn, Jaqulin Fowler is an individual health care provider with primary practice located at 2830 Corunna Rd , Flint MI 48503-3254. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hagedorn, Jaqulin Fowler can be contacted via phone (810) 235-6812.

Contact Information

Primary practice address
2830 Corunna Rd Flint MI 48503-3254
Phone: (810) 235-6812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401016327 Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401018092 Michigan

Profile Details

NPI number 1356745467
LBN Legal business name Hagedorn, Jaqulin Fowler
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2014
Last updated Feb 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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