Individual provider · Type 1 NPI

Nathan Wagner, LPC, CSAC

Professional Counselor · Manassas, VA

NPI number 1497100200 Active

Practice location

9720 Capital Ct, Suite 303
Manassas, VA 20110-2044

Call (571) 921-4812 Map

Mailing address

11835 Hazel Circle Dr
Bristow, VA 20136-2180

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X070102980 (VA)
Professional Counselor Primary 101YP2500X0701006557 (VA)

Professional Counselor: Definition to come...

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About NPI 1497100200

Nathan Wagner, LPC, CSAC's National Provider Identifier is 1497100200, issued on Apr 29, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manassas, VA. The record was last updated on Apr 29, 2016.