Individual provider · Type 1 NPI
Joseph Michael Wagner, LPC-S
Professional Counselor · Metairie, LA
NPI number
1043478290
Active
Practice location
3350 Ridgelake Dr # 87
Metairie, LA 70002-3836
Mailing address
333 Highway Dr # B
Jefferson, LA 70121-3414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4420 (LA) |
Professional Counselor: Definition to come...
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About NPI 1043478290
Joseph Michael Wagner, LPC-S's National Provider Identifier is 1043478290, issued on May 23, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Metairie, LA. The record was last updated on Jul 9, 2020.