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

Madeleine S Wagner

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568992709

Madeleine S Wagner is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone: (213) 241-3841
Fax: (213) 241-3305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1568992709
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

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