Hagen, Ingrid Marie

Hagen, Ingrid Marie is an sole proprietor health care provider with primary practice located at 1972 E Baseline Rd Suite B-102, Tempe AZ 85283-1532. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hagen, Ingrid Marie can be contacted via phone (602) 618-2726.

Contact Information

Primary practice address
1972 E Baseline Rd Suite B-102 Tempe AZ 85283-1532
Phone: (602) 618-2726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10492 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-11062LISAC-10492 Arizona

Profile Details

NPI number 1205809993
LBN Legal business name Hagen, Ingrid Marie
Credentials MC, LPC, LISAC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2006
Last updated Oct 17th, 2019 - about 5 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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