Mr. Jacob Arnold Wagner, LSP, EDS
Mr. Jacob Arnold Wagner, LSP, EDS is a School Counselor in Cleveland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2024.
- Licensed in
- TN
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
2292 Chambliss Ave NW Ste C2Cleveland, TN 37311-3862
Phone: (423) 479-5672
Fax: (423) 479-5679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| School Psychologist (primary) | Taxonomy 103TS0200X · Licence 000748846 (TN) |
|---|---|
| School Counselor | Taxonomy 101YS0200X |
Record details
| NPI number | 1497590277 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LSP , EDS |
| Sole proprietor | No |
| NPI enumerated | June 25, 2024 |
| Last updated in NPPES | June 25, 2024 |
| Certification date | May 22, 2024 |
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