Individual provider · Type 1 NPI

Matthew D. Wagner

Mental Health Counselor · Colorado Springs, CO

NPI number 1174811798 Active

Practice location

17 Farragut Ave
Colorado Springs, CO 80909-5625

Call (440) 521-6007 Map

Mailing address

4832 Sweetgrass Ln
Colorado Springs, CO 80922-2212

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174811798

Matthew D. Wagner's National Provider Identifier is 1174811798, issued on Jul 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 10, 2013.