Individual provider · Type 1 NPI

Marisa Wagner, IMFT

Mental Health Counselor · Wauseon, OH

NPI number 1336816271 Active

Practice location

9104 State Route 108
Wauseon, OH 43567-9526

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XM.2100239-TRNE (OH)
Mental Health Counselor Primary 101YM0800XF.2400426 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1336816271

Marisa Wagner, IMFT's National Provider Identifier is 1336816271, issued on Aug 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wauseon, OH. The record was last updated on May 30, 2025.