Individual provider · Type 1 NPI

Landi Gayle Wagner, BS

Counselor · Lamar, CO

NPI number 1316112006 Active

Practice location

100 Kendall Dr
Lamar, CO 81052

Call (719) 336-7501 Map

Fax (719) 336-7453

Mailing address

711 Barnes Ave
La Junta, CO 81050

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1316112006

Landi Gayle Wagner, BS's National Provider Identifier is 1316112006, issued on Apr 24, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lamar, CO. The record was last updated on Oct 8, 2012.