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

MS. Kathyrn Ann Wagner, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386167708

MS. Kathyrn Ann Wagner, LADC is an Addiction (Substance Use Disorder) Counselor in Willmar, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1700 Technology Dr NE Ste 203 #2
Willmar, MN 56201-2295
Phone: (320) 905-6152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 301935 (MN)

Record details

NPI number1386167708
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorYes
NPI enumeratedJuly 18, 2017
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address1700 Technology Dr Ne Suite 203 #2, Willmar, MN 56201-2295

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