person
Nicole Wagner
Mental Health Counselor in Mesa, Arizona
NPI 1013668839

Nicole Wagner is a Mental Health Counselor based in Mesa, AZ and is specialized in Mental Health. Nicole Wagner practices in Mesa, AZ. The NPI Number for Nicole Wagner is 1013668839 and holds a License No. LAC-19462 (Arizona).

The current practice location address for Nicole Wagner is 3707 E Southern Ave Ste 2055, Mesa, AZ and can be reached out via phone at 605-641-2972.

Location: 3707 E Southern Ave Ste 2055, Mesa, AZ, 85206-6217
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Provider Profile Details
NPI Number
1013668839
Provider Name
Nicole Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
3707 E Southern Ave Ste 2055, Mesa, AZ, 85206-6217
Phone Number
605-641-2972
Fax Number
Provider Enumeration Date
01/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LAC-19462 01 AZ ARIZONA COUNSELOR LICENSE
institution
Provider Business Practice Location Address Details
Address
3707 E Southern Ave Ste 2055
City
State
Zip
85206-6217
Phone Number
605-641-2972
Fax Number
person
Provider Business Mailing Address Details
Address
3707 E Southern Ave Ste 2055
City
State
Zip
85206-6217
Phone Number
605-641-2972
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LAC-19462 (Arizona)
Definition
Definition to come...
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