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

Mr. Brandal J Wagener, LMHC

Individual provider Mental Health Counselor · NPI 1760038475

Mr. Brandal J Wagener, LMHC is a Mental Health Counselor in Davenport, Iowa. Licensed in Iowa. Registered with an NPI since 2019.

Licensed in
IA
In the registry since
2019
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

4620 E 53rd St Ste 200
Davenport, IA 52807-3627
Phone: (224) 216-4209
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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 093843 (IA)

Record details

NPI number1760038475
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorNo
NPI enumeratedAugust 18, 2019
Last updated in NPPESFebruary 26, 2023
Certification dateFebruary 26, 2023

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