Individual provider · Type 1 NPI

Patti Wagner, LPC

Mental Health Counselor · Waterford, WI

NPI number 1396255774 Active

Practice location

1701 Sharp Rd
Waterford, WI 53185-5214

Call (920) 531-2662 Map

Mailing address

E7475 Rawhide Rd
New London, WI 54961-9025

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5837-125 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1396255774

Patti Wagner, LPC's National Provider Identifier is 1396255774, issued on Oct 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterford, WI. The record was last updated on Dec 31, 2024.