Doctor Name: | CHARITY KAY HAUGEN |
NPI Number: | 1891044483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC |
License Number: | 302052 |
Business Practice Address: | 1321 13th St N St. Cloud, MN - 56303 |
Business Phone Number: | 3202525010 |
Business Fax Number: | 3202031855 |
Mailing Address: | 1321 13th St N, ST. CLOUD |
State: | MN |
Postal Code: | 56303 |
Phone Number: | 3202525010 |
Fax Number: | 3202031855 |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 302052 |
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: |