Individual provider · Type 1 NPI

William Wagner

Mental Health Counselor · Largo, MD

NPI number 1386986677 Active

Practice location

9701 Apollo Dr, Suite 441
Largo, MD 20774-4783

Fax (240) 764-6741

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC4481 (MD)
Professional Counselor 101YP2500XLC4481 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1386986677

William Wagner's National Provider Identifier is 1386986677, issued on Mar 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Largo, MD. The record was last updated on Mar 25, 2013.