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

Mr. Matthew Wagner, LPC, CAADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053749168

Mr. Matthew Wagner, LPC, CAADC is an Addiction (Substance Use Disorder) Counselor in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

545 N McDonough St Ste 212
Decatur, GA 30030-3310
Phone: (770) 766-8128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9583 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C0212 (GA)

Record details

NPI number1053749168
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , CAADC
Sole proprietorYes
NPI enumeratedOctober 29, 2013
Last updated in NPPESNovember 1, 2018

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