Individual provider · Type 1 NPI

Kristin M. Wagner, M.A., L.P.C., N.C.C.

Professional Counselor · Boulder, CO

NPI number 1457654808 Active

Practice location

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

Call (720) 257-9416 Map

Mailing address

11210 Flatiron Dr
Lafayette, CO 80026-9618

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC.0012533 (CO)

Professional Counselor: Definition to come...

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About NPI 1457654808

Kristin M. Wagner, M.A., L.P.C., N.C.C.'s National Provider Identifier is 1457654808, issued on Dec 7, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Jan 19, 2022.