Individual provider · Type 1 NPI

Ruth Lara Wagner, LPCC

Professional Counselor · Las Cruces, NM

NPI number 1699417030 Active

Practice location

350 El Molino Blvd
Las Cruces, NM 88005-2915

Call (575) 323-8900 Map

Fax (575) 267-6228

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Professional Counselor Primary 101YP2500XCTB-2023-0321 (NM)

Professional Counselor: Definition to come...

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About NPI 1699417030

Ruth Lara Wagner, LPCC's National Provider Identifier is 1699417030, issued on Apr 7, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Las Cruces, NM. The record was last updated on Oct 20, 2026.