Individual provider · Type 1 NPI

Brandal J. Wagener, LMHC

Mental Health Counselor · Davenport, IA

NPI number 1760038475 Active

Practice location

4620 E 53rd St Ste 200
Davenport, IA 52807-3627

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X093843 (IA)

Mental Health Counselor: Definition to come...

9 other providers at this address

Other mental health counselor providers in Davenport

See all in Davenport →

About NPI 1760038475

Brandal J. Wagener, LMHC's National Provider Identifier is 1760038475, issued on Aug 18, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davenport, IA. The record was last updated on Feb 26, 2023.