Individual provider · Type 1 NPI
Kari Sue Wagner, M.A.
Mental Health Counselor · Lamar, CO
NPI number
1073640595
Active
Practice location
201 Kendall Drive
Lamar, CO 81052
Fax (719) 336-7453
Mailing address
1801 S 10th St
Lamar, CO 81052-4142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 4340 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1073640595
Kari Sue Wagner, M.A.'s National Provider Identifier is 1073640595, issued on Feb 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lamar, CO. The record was last updated on Jul 8, 2007.