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

Amy Louise Wagner, MA

Individual provider Mental Health Counselor · NPI 1710754585

Amy Louise Wagner, MA is a Mental Health Counselor in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3504 Industrial Ave Ste 214
Fairbanks, AK 99701-7390
Phone: (907) 452-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1710754585
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedDecember 11, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023

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