Individual provider · Type 1 NPI

Jonathan Eric Wagner, LPCC

Professional Counselor · St. Paul, MN

NPI number 1063006724 Active

Practice location

2270 Ford Pkwy Ste 106
St. Paul, MN 55116-3412

Call (612) 915-0049 Map

Other practice locations

  • 320 Annapolis St E, West St. Paul, MN 55118-1604 · (651) 210-9549

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X02291 (MN)
Professional Counselor Primary 101YP2500X4525 (MN)

Professional Counselor: Definition to come...

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About NPI 1063006724

Jonathan Eric Wagner, LPCC's National Provider Identifier is 1063006724, issued on Feb 23, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Paul, MN. The record was last updated on May 1, 2025.