Individual provider · Type 1 NPI

Katheryn Wagner

Addiction (Substance Use Disorder) Counselor · Plymouth, MA

NPI number 1760684583 Active

Practice location

2 School St
Plymouth, MA 02360-3964

Call (508) 830-1234 Map

Mailing address

27 Cole St
Kingston, MA 02364-1748

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1760684583

Katheryn Wagner's National Provider Identifier is 1760684583, issued on Jun 4, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, MA. The record was last updated on Jul 8, 2007.