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

Kyle Wagner

Individual provider Mental Health Counselor · NPI 1083446850

Kyle Wagner is a Mental Health Counselor in Lyons, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1519 Nye Rd
Lyons, NY 14489-9133
Phone: (315) 946-5722
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1083446850
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address1519 Nye Rd, Lyons, NY 14489-9133

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