Individual provider · Type 1 NPI

Natasha Anne Wagner, RADT

Addiction (Substance Use Disorder) Counselor · Grass Valley, CA

NPI number 1366294829 Active

Practice location

180 Sierra College Dr
Grass Valley, CA 95945-5768

Mailing address

10227 Welsh Ln
Grass Valley, CA 95949-9109

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1556440424 (CA)

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

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About NPI 1366294829

Natasha Anne Wagner, RADT's National Provider Identifier is 1366294829, issued on Apr 5, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grass Valley, CA. The record was last updated on Apr 5, 2024.