Individual provider · Type 1 NPI

Sophia Smetana Wagner

Mental Health Counselor · Wauwatosa, WI

NPI number 1619809035 Active

Practice location

10425 W North Ave Ste 236
Wauwatosa, WI 53226-2416

Call (414) 326-4328 Map

Fax (414) 296-8859

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619809035

Sophia Smetana Wagner's National Provider Identifier is 1619809035, issued on Jun 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wauwatosa, WI. The record was last updated on Jun 1, 2026.