| Doctor Name: | SAMANTHA NOEL HAGER |
| NPI Number: | 1669868246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC |
| License Number: | 304136 |
| Business Practice Address: | 305 9th Street Windom, MN - 56101 |
| Business Phone Number: | 5078328033 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 513, 202 Broadway Ave. ORMSBY |
| State: | MN |
| Postal Code: | 56162 |
| Phone Number: | 5073272854 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2015 |
| NPI Last Update Date: | 04/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 304136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |