person
Mrs. Gail Ann Wagner, MS
Mental Health Counselor in Prescott, Arizona
NPI 1003838582

Gail Ann Wagner is a Mental Health Counselor based in Prescott, AZ and is specialized in Mental Health. Gail Ann Wagner practices in Prescott, AZ and has the professional credentials of MS. The NPI Number for Gail Ann Wagner is 1003838582 and holds a License No. LPC0404 (Arizona).

The current practice location address for Gail Ann Wagner is 143 E Merritt St, Prescott, AZ and can be reached out via phone at 928-445-5027 and via fax at 928-445-7071.

Location: 143 E Merritt St, Prescott, AZ, 86301-2028
person
Provider Profile Details
NPI Number
1003838582
Provider Name
Gail Ann Wagner
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
143 E Merritt St, Prescott, AZ, 86301-2028
Phone Number
928-445-5027
Fax Number
928-445-7071
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
11586734 01 AZ CAQH
institution
Provider Business Practice Location Address Details
Address
143 E Merritt St
City
State
Zip
86301-2028
Phone Number
928-445-5027
Fax Number
928-445-7071
person
Provider Business Mailing Address Details
Address
143 E Merritt St
City
State
Zip
86301-2028
Phone Number
928-445-5027
Fax Number
928-445-7071
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC0404 (Arizona)
Definition
Definition to come...
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