Individual provider · Type 1 NPI

Michael J. Wagner

Mental Health Counselor · Santa Fe, NM

NPI number 1144098518 Active

Practice location

4001 Office Court Driver Ste 102
Santa Fe, NM 87507

Call (505) 395-9437 Map

Fax (505) 930-5427

Mailing address

11 Rosewood Dr
Howell, NJ 07731-3414

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144098518

Michael J. Wagner's National Provider Identifier is 1144098518, issued on Dec 15, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe, NM. The record was last updated on Dec 15, 2023.