Gabriel Catherine Wagner
Gabriel Catherine Wagner is an Addiction (Substance Use Disorder) Counselor in Provo, Utah. Licensed in Utah. Registered with an NPI since 2021.
- Licensed in
- UT
- In the registry since
- 2021
Practice location Address checks out
750 N Freedom BlvdProvo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 13058974-6018 (UT) |
|---|
Record details
| NPI number | 1366102071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 21, 2021 |
| Last updated in NPPES | May 1, 2023 |
| Certification date | May 1, 2023 |
| Mailing address | 750 N Freedom Blvd, Provo, UT 84601-1677 |
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