Individual provider · Type 1 NPI
James A. Wagner, CADCIII-RCS
Addiction (Substance Use Disorder) Counselor · Racine, WI
NPI number
1376718288
Active
Practice location
524 Main Street, Suite 302
Racine, WI 53403-1032
Fax (262) 632-0895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10328 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1376718288
James A. Wagner, CADCIII-RCS's National Provider Identifier is 1376718288, issued on Apr 23, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Racine, WI. The record was last updated on Apr 23, 2008.