Individual provider · Type 1 NPI

Anthony Joseph Wagner

Counselor · Salem, OR

NPI number 1790050433 Active

Practice location

3878 Beverly Ave NE, Building H
Salem, OR 97305-1394

Mailing address

5285 SW Nash Ave
Corvallis, OR 97333-9312

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1790050433

Anthony Joseph Wagner's National Provider Identifier is 1790050433, issued on Mar 13, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salem, OR. The record was last updated on Mar 13, 2012.