Individual provider · Type 1 NPI

Samuel Charles Wagner V, LPC

Professional Counselor · Fairfax, VA

NPI number 1437863222 Active

Practice location

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512

Call (571) 595-7532 Map

Mailing address

480 Kearns Dr
Culpeper, VA 22701-1994

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X0701012099 (VA)
Professional Counselor Primary 101YP2500X0701012099 (VA)

Professional Counselor: Definition to come...

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About NPI 1437863222

Samuel Charles Wagner V, LPC's National Provider Identifier is 1437863222, issued on Jan 6, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Jan 2, 2024.