Breanna Wagner
Breanna Wagner is an Addiction (Substance Use Disorder) Counselor in Eden Prairie, Minnesota. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
11010 Prairie Lakes Dr Ste 350Eden Prairie, MN 55344-3801
Phone: (952) 746-2522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1083120984 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 14, 2017 |
| Last updated in NPPES | December 14, 2017 |
| Mailing address | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 |
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