Individual provider · Type 1 NPI
John Wagner
Mental Health Counselor · Winter Park, FL
NPI number
1255769402
Active
Practice location
1850 Lee Road, Suite 122A
Winter Park, FL 32789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 04610 (FL) |
Mental Health Counselor: Definition to come...
Another provider at this address
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- Debbi-Ann Douglas, M.SMental Health Counselor Winter Park, FL NPI 1003544065
- Tanya N. BajgierMental Health Counselor Winter Park, FL NPI 1003569401
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About NPI 1255769402
John Wagner's National Provider Identifier is 1255769402, issued on Oct 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winter Park, FL. The record was last updated on Oct 25, 2013.