Provider Demographics
NPI:1043883465
Name:HAUGEN, ERICA (MS, MA)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:HAUGEN
Suffix:
Gender:F
Credentials:MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4108 NAWADAHA BLVD
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-4032
Mailing Address - Country:US
Mailing Address - Phone:612-210-0333
Mailing Address - Fax:
Practice Address - Street 1:3033 EXCELSIOR BLVD STE 215
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-5274
Practice Address - Country:US
Practice Address - Phone:612-417-8955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health