Provider Demographics
NPI:1003061235
Name:SAEGER, ANGELA KRISTIN (MA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:KRISTIN
Last Name:SAEGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6636 CEDAR AVE S STE 380
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-2712
Mailing Address - Country:US
Mailing Address - Phone:612-223-6330
Mailing Address - Fax:612-223-6735
Practice Address - Street 1:6636 CEDAR AVE S STE 380
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2712
Practice Address - Country:US
Practice Address - Phone:612-223-6330
Practice Address - Fax:612-223-6735
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MN2218251S00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health