Individual provider · Type 1 NPI

Kathryn Ellen Wagner

Addiction (Substance Use Disorder) Counselor · Wilmington, DE

NPI number 1093046716 Active

Practice location

2500 W 4th St
Wilmington, DE 19805-3367

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093046716

Kathryn Ellen Wagner's National Provider Identifier is 1093046716, issued on Jan 20, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, DE. The record was last updated on Dec 23, 2013.