Individual provider · Type 1 NPI

Glavis M. Wagner

Prevention Professional · Pendleton, OR

NPI number 1720587553 Active

Practice location

46314 Timine Way
Pendleton, OR 97801

Call (541) 966-9830 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17-CRM-217 (OR)
Peer Specialist 175T00000XTHW000002415 (OR)
Prevention Professional Primary 405300000X17-CRM-217 (OR)

Prevention Professional: Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship s…

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About NPI 1720587553

Glavis M. Wagner's National Provider Identifier is 1720587553, issued on Feb 7, 2018. The primary taxonomy on file is Prevention Professional (405300000X), and the practice location is in Pendleton, OR. The record was last updated on Jul 23, 2020.