Individual provider · Type 1 NPI

Jennifer Wagner

Marriage & Family Therapist · Santa Rosa, CA

NPI number 1508772088 Active

Practice location

320 10th St Ste 200
Santa Rosa, CA 95401-5291

Call (707) 579-0465 Map

Mailing address

776 Pordon Ln
Healdsburg, CA 95448-3729

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XAMFT165045 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1508772088

Jennifer Wagner's National Provider Identifier is 1508772088, issued on Aug 24, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 24, 2026.