Glavis M Wagner
Glavis M Wagner is an Addiction (Substance Use Disorder) Counselor in Pendleton, Oregon. Licensed in Oregon. Registered with an NPI since 2018.
- Licensed in
- OR
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
46314 Timine WayPendleton, OR 97801
Phone: (541) 966-9830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prevention Professional (primary) | Taxonomy 405300000X · Licence 17-CRM-217 (OR) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 17-CRM-217 (OR) |
| Peer Specialist | Taxonomy 175T00000X · Licence THW000002415 (OR) |
Record details
| NPI number | 1720587553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 7, 2018 |
| Last updated in NPPES | July 23, 2020 |
| Certification date | July 23, 2020 |
| Mailing address | 46314 Timine Way, Pendleton, OR 97801-9417 |
Other providers in Pendleton
-
MS. Victoria Lee Star, BSSW
46314 Timine Way, Pendleton, OR 97801 · (541) 966-9830
-
Jenna Stensrud
200 SE Hailey Ave Ste 204, Pendleton, OR 97801-3072 · (541) 663-4104
-
Mariah B Story, CADCI
110 SW 20th St, Pendleton, OR 97801-1869 · (541) 429-8261
-
Gary Thomas, MS
73265 Confederated Way, Pendleton, OR 97801-9099 · (541) 215-1963
-
Joanita Glavel Williamson
200 SE Hailey Ave Ste 204, Pendleton, OR 97801-3072 · (541) 962-0162