Individual provider · Type 1 NPI

Melissa Renee Wagner

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1245134105 Active

Practice location

4705 State Rd
Cleveland, OH 44109-5244

Mailing address

6853 Tobik Trl
Parma Heights, OH 44130-4514

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X196849 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245134105

Melissa Renee Wagner's National Provider Identifier is 1245134105, issued on Oct 5, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Oct 5, 2026.