Individual provider · Type 1 NPI

Richard C. Wagner

Counselor · Santa Rosa, CA

NPI number 1578740296 Active

Practice location

3322 Chanate Rd
Santa Rosa, CA 95404-1708

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1578740296

Richard C. Wagner's National Provider Identifier is 1578740296, issued on Jan 24, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 11, 2014.