Individual provider · Type 1 NPI

Jonathan Stuart Wagner, LPCC

Professional Counselor · Boulder, CO

NPI number 1447123724 Active

Practice location

1650 38th St Ste 100E
Boulder, CO 80301-2624

Mailing address

3434 47th St Ste 130
Boulder, CO 80301-1802

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPCC.0023950 (CO)
Professional Counselor Primary 101YP2500XLPCC.0023950 (CO)

Professional Counselor: Definition to come...

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About NPI 1447123724

Jonathan Stuart Wagner, LPCC's National Provider Identifier is 1447123724, issued on Sep 24, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Sep 24, 2025.