Individual provider · Type 1 NPI

Dianne Wagoner

Addiction (Substance Use Disorder) Counselor · Rockaway, NJ

NPI number 1285275446 Active

Practice location

200 E Main St
Rockaway, NJ 07866-3614

Call (973) 229-3198 Map

Mailing address

8 Reservoir Rd
Lake Hopatcong, NJ 07849-1712

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37CA000098200 (NJ)

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

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About NPI 1285275446

Dianne Wagoner's National Provider Identifier is 1285275446, issued on Sep 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rockaway, NJ. The record was last updated on Sep 30, 2019.