Individual provider · Type 1 NPI

Jennifer L. Wagner, ACMHC

Mental Health Counselor · Taylorsville, UT

NPI number 1124516109 Active

Practice location

3509 W 4700 S
Taylorsville, UT 84129-2846

Call (801) 990-4300 Map

Fax (801) 967-2127

Mailing address

PO Box 330
Magna, UT 84044-0330

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8663400-6009 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1124516109

Jennifer L. Wagner, ACMHC's National Provider Identifier is 1124516109, issued on Apr 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Taylorsville, UT. The record was last updated on Feb 19, 2020.