Individual provider · Type 1 NPI
Cary S. Wagner, LCSW
Mental Health Counselor · New Rochelle, NY
NPI number
1780936211
Active
Practice location
956 North Ave
New Rochelle, NY 10804-3601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PR021908-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1780936211
Cary S. Wagner, LCSW's National Provider Identifier is 1780936211, issued on Oct 8, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Rochelle, NY. The record was last updated on Oct 8, 2012.