Individual provider · Type 1 NPI
Carlie Wagner
Professional Counselor · Aurora, CO
NPI number
1124572623
Active
Practice location
1330 S Potomac St Ste 104A
Aurora, CO 80012-4527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 12108 (CO) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1124572623
Carlie Wagner's National Provider Identifier is 1124572623, issued on Aug 12, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Aurora, CO. The record was last updated on Aug 12, 2016.