Individual provider · Type 1 NPI

Randall L. Wagner, LPC

Professional Counselor · Madison, WI

NPI number 1063558211 Active

Practice location

1821 S Stoughton Rd
Madison, WI 53716-2257

Fax (608) 260-6376

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3203-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1063558211

Randall L. Wagner, LPC's National Provider Identifier is 1063558211, issued on Jan 29, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Dec 15, 2020.