Individual provider · Type 1 NPI

Brian R. Wagner, M.A. C.A.S.A.C.

Addiction (Substance Use Disorder) Counselor · Valley Stream, NY

NPI number 1831204270 Active

Practice location

73 S Central Ave
Valley Stream, NY 11580-5402

Call (516) 872-9698 Map

Fax (516) 872-8758

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10434 (NY)

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

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About NPI 1831204270

Brian R. Wagner, M.A. C.A.S.A.C.'s National Provider Identifier is 1831204270, issued on Aug 19, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Valley Stream, NY. The record was last updated on Jul 8, 2007.