Individual provider · Type 1 NPI

Gabriel Catherine Wagner

Addiction (Substance Use Disorder) Counselor · Provo, UT

NPI number 1366102071 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Fax (801) 373-0639

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13058974-6018 (UT)

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

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About NPI 1366102071

Gabriel Catherine Wagner's National Provider Identifier is 1366102071, issued on Dec 21, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Provo, UT. The record was last updated on May 1, 2023.