Individual provider · Type 1 NPI

Theodore Lee Wagener, M.S.

Mental Health Counselor · Oklahoma City, OK

NPI number 1780854059 Active

Practice location

940 NE 13th St
Oklahoma City, OK 73104-5008

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1780854059

Theodore Lee Wagener, M.S.'s National Provider Identifier is 1780854059, issued on Mar 3, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 3, 2008.