Jordan Wagner
Jordan Wagner is a Peer Specialist in Columbus, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
12 S Terrace AveColumbus, OH 43204-3281
Phone: (614) 991-0131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1629741228 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2021 |
| Last updated in NPPES | July 29, 2021 |
| Certification date | July 29, 2021 |
| Mailing address | 12 S Terrace Ave, Columbus, OH 43204-3281 |
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