Michael J. Wagner
Michael J. Wagner is a Mental Health Counselor in Santa Fe, New Mexico. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4001 Ofc Court Driver Ste 102Santa Fe, NM 87507
Phone: (505) 395-9437
Fax: (505) 930-5427
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1144098518 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 15, 2023 |
| Last updated in NPPES | December 15, 2023 |
| Certification date | December 13, 2023 |
| Mailing address | 11 Rosewood Dr, Howell, NJ 07731-3414 |
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