person
Mr. Matthew Wagner, LPC,CAADC
Professional Counselor in Decatur, Georgia
NPI 1053749168

Matthew Wagner is a Professional Counselor based in Decatur, GA and is specialized in Professional. Matthew Wagner practices in Decatur, GA and has the professional credentials of LPC,CAADC. The NPI Number for Matthew Wagner is 1053749168 and holds a License No. C0212 (Georgia).

The current practice location address for Matthew Wagner is 545 N Mcdonough St Ste 212, Decatur, GA and can be reached out via phone at 770-766-8128.

Location: 545 N Mcdonough St Ste 212, Decatur, GA, 30030-3310
person
Provider Profile Details
NPI Number
1053749168
Provider Name
Matthew Wagner
Credential
LPC,CAADC
Provider Entity Type
Individual
Gender
Male
Address
545 N Mcdonough St Ste 212, Decatur, GA, 30030-3310
Phone Number
770-766-8128
Fax Number
Provider Enumeration Date
10/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
545 N Mcdonough St Ste 212
City
State
Zip
30030-3310
Phone Number
770-766-8128
Fax Number
person
Provider Business Mailing Address Details
Address
545 N Mcdonough St Ste 212
City
State
Zip
30030-3310
Phone Number
770-766-8128
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
9583 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C0212 (Georgia)
Definition
Definition to come...
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