Individual provider · Type 1 NPI

Benjamin Wagner

Mental Health Counselor · Edmond, OK

NPI number 1982311056 Active

Practice location

13707 Fairhill Ave
Edmond, OK 73013-1946

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPCCANDIDATE11099 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1982311056

Benjamin Wagner's National Provider Identifier is 1982311056, issued on Oct 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on Oct 28, 2022.