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

Gary Allen Wagenaar, MSLADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1851683049

Gary Allen Wagenaar, MSLADC is an Addiction (Substance Use Disorder) Counselor in Austin, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011

Practice location Address checks out

1000 1st Dr NW
Austin, MN 55912-2941
Phone: (507) 434-1928
Fax: (507) 434-1927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 300609 (MN)

Record details

NPI number1851683049
Entity typeIndividual (Type 1)
GenderMale
Credentials MSLADC
Sole proprietorNo
NPI enumeratedMay 6, 2011
Last updated in NPPESMay 6, 2011

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