Mr. Samuel Charles Wagner V, LPC
Mr. Samuel Charles Wagner V, LPC is a Counselor in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2023.
- Licensed in
- VA
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LPC — Licensed Professional Counselor
- A licensed mental health counsellor.
Practice location Address checks out
8221 Willow Oaks Corporate DrFairfax, VA 22031-4512
Phone: (571) 595-7532
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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 0701012099 (VA) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 0701012099 (VA) |
Record details
| NPI number | 1437863222 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC |
| Sole proprietor | No |
| NPI enumerated | January 6, 2023 |
| Last updated in NPPES | January 2, 2024 |
| Certification date | January 2, 2024 |
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