Individual provider · Type 1 NPI

Vance Wagner Ii

Mental Health Counselor · Lakewood, CO

NPI number 1164830451 Active

Practice location

12055 W 2nd Pl
Lakewood, CO 80228-1506

Call (303) 425-0300 Map

Mailing address

4851 Independence St, Suite 200
Wheat Ridge, CO 80033-6715

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1164830451

Vance Wagner Ii's National Provider Identifier is 1164830451, issued on Jul 30, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, CO. The record was last updated on Nov 24, 2014.