Individual provider · Type 1 NPI

Shannon Wagner

Community/Behavioral Health Agency · Concord, CA

NPI number 1467590737 Active

Practice location

2086 Commerce Ave
Concord, CA 94520-4902

Call (925) 827-0212 Map

Mailing address

3413 Smoketree Commons
Pleasanton, CA 94566-7963

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1467590737

Shannon Wagner's National Provider Identifier is 1467590737, issued on Feb 1, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Concord, CA. The record was last updated on Jul 8, 2007.