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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LC4481 (MD) |
| Professional Counselor | 101YP2500X | LC4481 (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.