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

Lisa Fae Wagner

Individual provider Mental Health Counselor · NPI 1659963502

Lisa Fae Wagner is a Mental Health Counselor in Agoura Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

29532 Bertrand Dr
Agoura Hills, CA 91301-4100
Phone: (310) 480-1719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 40867 (CA)

Record details

NPI number1659963502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 10, 2021
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021

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