Individual provider · Type 1 NPI
William Douglas Wagner, MSW, LCSW
Mental Health Counselor · North Port, FL
NPI number
1043594963
Active
Practice location
2139 Palm Ct
North Port, FL 34287-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | SW9961 (FL) |
| Mental Health Counselor | 101YM0800X | 356 (KY) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in North Port
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- Lisa Aileen Bareiss-JayhanMental Health Counselor North Port, FL NPI 1255604476
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About NPI 1043594963
William Douglas Wagner, MSW, LCSW's National Provider Identifier is 1043594963, issued on Oct 11, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Port, FL. The record was last updated on Oct 11, 2011.