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

Kell Wagner, NCC, LPCASSOCIATE

Individual provider Professional Counselor · NPI 1841660636

Kell Wagner, NCC, LPCASSOCIATE is a Professional Counselor in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2015
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

See every abbreviation used in this directory →

Practice location Address checks out

1040 Crater Lake Ave Ste D
Medford, OR 97504-6295
Phone: (541) 840-7684
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C6938 (OR)

Record details

NPI number1841660636
Entity typeIndividual (Type 1)
GenderMale
Credentials NCC , LPCASSOCIATE
Sole proprietorYes
NPI enumeratedOctober 6, 2015
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing address1040 Crater Lake Ave Ste D, Medford, OR 97504-6295

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