Individual provider · Type 1 NPI

Johanna Faith Wagner

Mental Health Counselor · Salem, OR

NPI number 1871325977 Active

Practice location

1220 20th St SE Ste 320
Salem, OR 97302-2400

Call (971) 719-2440 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1871325977

Johanna Faith Wagner's National Provider Identifier is 1871325977, issued on Aug 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Aug 18, 2026.