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

Kathryn Beatrice Wagoner

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1548918832

Kathryn Beatrice Wagoner is an Addiction (Substance Use Disorder) Counselor in Fairfield, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

609 Jefferson St
Fairfield, CA 94533-6293
Phone: (707) 399-9190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1548918832
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 15, 2022
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022

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