Individual provider · Type 1 NPI

Tara Wagner

Counselor · Freehold, NJ

NPI number 1871243378 Active

Practice location

2 Paragon Way Ste 800
Freehold, NJ 07728-9573

Fax (732) 308-4500

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC00492700 (NJ)

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 1871243378

Tara Wagner's National Provider Identifier is 1871243378, issued on Mar 27, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Freehold, NJ. The record was last updated on Mar 27, 2022.