Individual provider · Type 1 NPI

Nicole Wagner

Mental Health Counselor · Mesa, AZ

NPI number 1013668839 Active

Practice location

3707 E Southern Ave Ste 2055
Mesa, AZ 85206-6217

Call (605) 641-2972 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-19462 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1013668839

Nicole Wagner's National Provider Identifier is 1013668839, issued on Jan 13, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Jan 13, 2022.