Nicole Wagner
Nicole Wagner is a Mental Health Counselor in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2022.
- Licensed in
- AZ
- In the registry since
- 2022
Practice location Address checks out
3707 E Southern Ave Ste 2055Mesa, AZ 85206-6217
Phone: (605) 641-2972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LAC-19462 (AZ) |
|---|
Record details
| NPI number | 1013668839 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 13, 2022 |
| Last updated in NPPES | January 13, 2022 |
| Certification date | January 10, 2022 |
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