Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kimeko Jean Hagen, BS, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508073271

Mrs. Kimeko Jean Hagen, BS, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

4000 W Spencer St
Appleton, WI 54914-4015
Phone: (920) 735-9010
Fax: (920) 735-9050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 14280-130 (WI)

Record details

NPI number1508073271
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , SAC-IT
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESJuly 8, 2007

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