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

Raymond Samuel Wagstaff

Individual provider Professional Counselor · NPI 1710287842

Raymond Samuel Wagstaff is a Professional Counselor in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2010
Specialties on file
3

Practice location Address checks out

1937 S Wyoming St
Salt Lake City, UT 84108-3237
Phone: (801) 573-3213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8099256-6004 (UT)
Professional Counselor Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1710287842
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 22, 2010
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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