Individual provider · Type 1 NPI

Brian Wagner, L.M.F.T.

Marriage & Family Therapist · San Jose, CA

NPI number 1265576433 Active

Practice location

828 S Bascom Ave Ste 200
San Jose, CA 95128-2600

Call (408) 885-5773 Map

Mailing address

1885 Lundy Ave, Suite 223
San Jose, CA 95131-1887

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC44887 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1265576433

Brian Wagner, L.M.F.T.'s National Provider Identifier is 1265576433, issued on Feb 19, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Jose, CA. The record was last updated on Jun 15, 2021.