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MS. PETRA M HAGEN SAC
NPI 1336979228
Counselor - Addiction (Substance Use Disorder) in Sparta, WI

Active since August 05, 2024
314 N BLACK RIVER ST, SPARTA, WI 54656(608) 632-2135 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Petra M Hagen Sac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PETRA M HAGEN SAC (NPI 1336979228) is an individual addiction (substance use disorder) provider in Sparta, Wisconsin, licensed in Wisconsin (17129-131) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1336979228
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. PETRA M HAGENCredential: SAC
Location Address314 N BLACK RIVER STSparta, WI 54656-1546
Mailing Address314 N Black RiverSparta, WI 54656 · (608) 632-2135
Phone(608) 632-2135
Sole ProprietorYes
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1336979228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 17129-131
314 N BLACK RIVER ST, Sparta, WI 54656
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petra Hagen's NPI number?

The NPI number for Petra Hagen is 1336979228. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Petra Hagen located?

Petra Hagen practices at 314 N Black River St, Sparta, WI 54656. The listed phone number is (608) 632-2135.

What is Petra Hagen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Petra Hagen was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.