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

Jean Marie Wagner, LMFT

Individual provider Marriage & Family Therapist · NPI 1730629361

Jean Marie Wagner, LMFT is a Marriage and Family Therapist in Lakeville, Minnesota. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2017
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

7580 160th St W
Lakeville, MN 55044-8348
Phone: (952) 564-6276
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 3028 (MN)

Record details

NPI number1730629361
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedMarch 1, 2017
Last updated in NPPESMarch 1, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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