Provider Demographics
NPI:1528111036
Name:HAGLUND, OLJA (LMSW)
Entity type:Individual
Prefix:
First Name:OLJA
Middle Name:
Last Name:HAGLUND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7040 KAY DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838-9106
Mailing Address - Country:US
Mailing Address - Phone:616-835-0215
Mailing Address - Fax:
Practice Address - Street 1:7040 KAY DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-9106
Practice Address - Country:US
Practice Address - Phone:616-835-0215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MI6801087214101YM0800X
MI6802081617101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty