Individual provider · Type 1 NPI
Kathyrn Ann Wagner, LADC
Addiction (Substance Use Disorder) Counselor · Willmar, MN
NPI number
1386167708
Active
Practice location
1700 Technology Dr NE Suite 203 #2
Willmar, MN 56201-2295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 301935 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1386167708
Kathyrn Ann Wagner, LADC's National Provider Identifier is 1386167708, issued on Jul 18, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Willmar, MN. The record was last updated on Jul 7, 2025.