Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alix Vitacco Wagner, PPSC

Individual provider School Counselor · NPI 1770452278

Alix Vitacco Wagner, PPSC is a School Counselor in Santa Rosa, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1777 W Ave
Santa Rosa, CA 95407-7449
Phone: (707) 546-7050
Fax: (707) 546-0434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Counselor (primary) Taxonomy 101YS0200X (CA)

Record details

NPI number1770452278
Entity typeIndividual (Type 1)
GenderFemale
Credentials PPSC
Sole proprietorNo
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

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