Individual provider · Type 1 NPI
Andrew B. Wagg Sr.
Addiction (Substance Use Disorder) Counselor · Worcester, MA
NPI number
1972739787
Active
Practice location
585 Lincoln St
Worcester, MA 01605-1906
Fax (508) 853-1264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972739787
Andrew B. Wagg Sr.'s National Provider Identifier is 1972739787, issued on Jun 8, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Worcester, MA. The record was last updated on Jun 8, 2009.