Individual provider · Type 1 NPI

Doug Wagner

Mental Health Counselor · Burien, WA

NPI number 1306712302 Active

Practice location

1210 SW 136th St
Burien, WA 98166-1214

Mailing address

746 S 204th St
Des Moines, WA 98198-3447

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306712302

Doug Wagner's National Provider Identifier is 1306712302, issued on Oct 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burien, WA. The record was last updated on Oct 15, 2025.