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

MS. Petra M Hagen, SAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336979228

MS. Petra M Hagen, SAC is an Addiction (Substance Use Disorder) Counselor in Sparta, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

314 N Black River St
Sparta, WI 54656-1546
Phone: (608) 632-2135
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 17129-131 (WI)

Record details

NPI number1336979228
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC
Sole proprietorYes
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Other providers in Sparta