Individual provider · Type 1 NPI

Tyler Wagner

Mental Health Counselor · Denver, CO

NPI number 1639869118 Active

Practice location

4455 E 12th Ave
Denver, CO 80220-2415

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1639869118

Tyler Wagner's National Provider Identifier is 1639869118, issued on May 9, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Denver, CO. The record was last updated on May 9, 2023.