person
Mr. William Douglas Wagner, MSW,LCSW
Mental Health Counselor in North Port, Florida
NPI 1043594963

William Douglas Wagner is a Mental Health Counselor based in North Port, FL and is specialized in Mental Health. William Douglas Wagner practices in North Port, FL and has the professional credentials of MSW,LCSW. The NPI Number for William Douglas Wagner is 1043594963 and holds a License No. SW9961 (Florida).

The current practice location address for William Douglas Wagner is 2139 Palm Ct, North Port, FL and can be reached out via phone at 859-979-0160.

Location: 2139 Palm Ct, North Port, FL, 34287-5724
person
Provider Profile Details
NPI Number
1043594963
Provider Name
William Douglas Wagner
Credential
MSW,LCSW
Provider Entity Type
Individual
Gender
Male
Address
2139 Palm Ct, North Port, FL, 34287-5724
Phone Number
859-979-0160
Fax Number
Provider Enumeration Date
10/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2139 Palm Ct
City
State
Zip
34287-5724
Phone Number
859-979-0160
Fax Number
person
Provider Business Mailing Address Details
Address
2139 Palm Ct
City
State
Zip
34287-5724
Phone Number
859-979-0160
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
SW9961 (Florida)
Definition
Definition to come...
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