Nathanael Wagner
Nathanael Wagner is a Professional Counselor in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2018
Practice location Address checks out
5242 Plainfield Ave NE Ste CGrand Rapids, MI 49525-1084
Phone: (616) 481-7106
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 6401010643 (MI) |
|---|
Record details
| NPI number | 1750875704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 21, 2018 |
| Last updated in NPPES | June 21, 2018 |
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