Jesse Wagner
Jesse Wagner is an Addiction (Substance Use Disorder) Counselor in Santa Cruz, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
380 Encinal St Ste 200Santa Cruz, CA 95060-2178
Phone: (831) 469-1700
Fax: (831) 425-1905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X (CA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X (CA) |
Record details
| NPI number | 1669030631 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2019 |
| Last updated in NPPES | June 4, 2019 |
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