Individual provider · Type 1 NPI

Holly Sunset Wagner

Mental Health Counselor · Phoenix, AZ

NPI number 1356783120 Active

Practice location

1840 N 95th Ave, Suite 146
Phoenix, AZ 85037-4444

Fax (623) 234-9815

Mailing address

4747 N 7th St, Suite 100
Phoenix, AZ 85014-3653

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356783120

Holly Sunset Wagner's National Provider Identifier is 1356783120, issued on Jul 22, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 22, 2013.