Individual provider · Type 1 NPI

Laura Beth Wagner, MA, LMHC

Mental Health Counselor · Seattle, WA

NPI number 1407152028 Active

Practice location

4425 Fremont Ave N
Seattle, WA 98103-7225

Mailing address

830 NW 60th St
Seattle, WA 98107-2836

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH60059907 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1407152028

Laura Beth Wagner, MA, LMHC's National Provider Identifier is 1407152028, issued on Jan 28, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Jan 28, 2011.