Individual provider · Type 1 NPI

Jason Wagner

Mental Health Counselor · Watsonville, CA

NPI number 1093014334 Active

Practice location

360 Whiskey Hill Rd
Watsonville, CA 95076-8521

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1093014334

Jason Wagner's National Provider Identifier is 1093014334, issued on Mar 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watsonville, CA. The record was last updated on Jul 29, 2011.