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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1285275446

Dianne Wagoner is an Addiction (Substance Use Disorder) Counselor in Rockaway, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
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Practice location Address checks out

200 E Main St
Rockaway, NJ 07866-3614
Phone: (973) 229-3198
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Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 37CA000098200 (NJ)

Record details

NPI number1285275446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 30, 2019
Last updated in NPPESSeptember 30, 2019
Mailing address8 Reservoir Rd, Lake Hopatcong, NJ 07849-1712

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