Individual provider · Type 1 NPI
Nicholas Wagenseller, MA, LPC
Professional Counselor · Ashland, OR
NPI number
1104416833
Active
Practice location
449 Prim St
Ashland, OR 97520-1555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C5989 (OR) |
Professional Counselor: Definition to come...
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About NPI 1104416833
Nicholas Wagenseller, MA, LPC's National Provider Identifier is 1104416833, issued on Jan 26, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ashland, OR. The record was last updated on Jan 26, 2021.