Individual provider · Type 1 NPI

Stacey Wagner

Mental Health Counselor · Jasper, OR

NPI number 1265145585 Active

Practice location

37875 Jasper Lowell Rd
Jasper, OR 97438-9751

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265145585

Stacey Wagner's National Provider Identifier is 1265145585, issued on Jan 2, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jasper, OR. The record was last updated on Jan 2, 2023.