Individual provider · Type 1 NPI

Elisabeth P. Wagner

Mental Health Counselor · West Valley City, UT

NPI number 1760095152 Active

Practice location

3737 W 4100 S
West Valley City, UT 84120-5543

Call (888) 949-4864 Map

Fax (206) 901-2010

Mailing address

3725 W 4100 S Ste 201
Salt Lake City, UT 84120-5411

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800X9443009-6004 (UT)

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About NPI 1760095152

Elisabeth P. Wagner's National Provider Identifier is 1760095152, issued on Aug 26, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Valley City, UT. The record was last updated on Feb 25, 2025.