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

Jeffrey Wagner, LPCC

Individual provider Professional Counselor · NPI 1255731402

Jeffrey Wagner, LPCC is a Professional Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

2865 Logan Ave
San Diego, CA 92113-2411
Phone: (619) 232-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11955 (CA)

Record details

NPI number1255731402
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedAugust 25, 2014
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

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