Individual provider · Type 1 NPI
Katje Wagner, PhD, LPC
Counselor · Portland, OR
NPI number
1114196680
Active
Practice location
1942 NW Kearney St Ste 23
Portland, OR 97209-1465
Other practice locations
- 4735 NE 75th Ave, Portland, OR 97218-3829 · (503) 313-5733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | None listed |
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1114196680
Katje Wagner, PhD, LPC's National Provider Identifier is 1114196680, issued on Feb 28, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Apr 3, 2024.