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

Benton Wagner

Individual provider Mental Health Counselor · NPI 1346668852

Benton Wagner is a Mental Health Counselor in Hailey, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2014
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Practice location Address checks out

418 N River St
Hailey, ID 83333-8513
Phone: (612) 247-9768
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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 · Licence LCPC-6760 (ID)

Record details

NPI number1346668852
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2014
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing addressPo Box 424, Fairfield, ID 83327-0424

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