person
Jason Robert Wagner, CMHC
Mental Health Counselor in Sandy, Utah
NPI 1053700765

Jason Robert Wagner is a Mental Health Counselor based in Sandy, UT and is specialized in Mental Health. Jason Robert Wagner practices in Sandy, UT and has the professional credentials of CMHC. The NPI Number for Jason Robert Wagner is 1053700765 and holds a License No. 7717626-6009 (Utah).

The current practice location address for Jason Robert Wagner is 9844 S 1300 E Ste 250, Sandy, UT and can be reached out via phone at 801-243-2928 and via fax at 801-609-3649.

Location: 9844 S 1300 E Ste 250, Sandy, UT, 84094-4691
person
Provider Profile Details
NPI Number
1053700765
Provider Name
Jason Robert Wagner
Credential
CMHC
Provider Entity Type
Individual
Gender
Male
Address
9844 S 1300 E Ste 250, Sandy, UT, 84094-4691
Phone Number
801-243-2928
Fax Number
801-609-3649
Provider Enumeration Date
01/19/2015
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
9844 S 1300 E Ste 250
City
State
Zip
84094-4691
Phone Number
801-243-2928
Fax Number
801-609-3649
person
Provider Business Mailing Address Details
Address
9844 S 1300 E Ste 250
City
State
Zip
84094-4691
Phone Number
801-243-2928
Fax Number
801-609-3649
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
7717626-6009 (Utah)
Definition
Definition to come...
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