Individual provider · Type 1 NPI

Vanessa Lynne Wagener, B.A.

Counselor · Diamond Springs, CA

NPI number 1396161055 Active

Practice location

768 Pleasant Valley Rd, Suite 304
Diamond Springs, CA 95619-9260

Mailing address

768 Pleasant Valley Road, Suite 304
Diamond Springs, CA 95619

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1396161055

Vanessa Lynne Wagener, B.A.'s National Provider Identifier is 1396161055, issued on Mar 5, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Diamond Springs, CA. The record was last updated on Mar 5, 2014.