Individual provider · Type 1 NPI

Samantha Dyan Wagner, BA

Counselor · Norman, OK

NPI number 1689739930 Active

Practice location

215 W Linn St
Norman, OK 73069-5837

Call (405) 321-0022 Map

Fax (405) 360-4918

Mailing address

3124 W Rock Creek Rd Apt 102
Norman, OK 73072-2431

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 1689739930

Samantha Dyan Wagner, BA's National Provider Identifier is 1689739930, issued on Dec 27, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Norman, OK. The record was last updated on Jul 8, 2007.