Individual provider · Type 1 NPI

David A. Wagner

Counselor · San Jose, CA

NPI number 1699002576 Active

Practice location

1340 Tully Rd, Suite 304
San Jose, CA 95122-3055

Call (408) 271-3900 Map

Fax (408) 271-3909

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 1699002576

David A. Wagner's National Provider Identifier is 1699002576, issued on Nov 12, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Nov 12, 2009.