Individual provider · Type 1 NPI
Daryl Eugene Wagner
Mental Health Counselor · Takoma Park, MD
NPI number
1023676517
Active
Practice location
7425 Aspen Ct # 102
Takoma Park, MD 20912-5450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 15488 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1023676517
Daryl Eugene Wagner's National Provider Identifier is 1023676517, issued on May 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Takoma Park, MD. The record was last updated on May 30, 2019.