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Mr. Randall L Wagner, LPC
Professional Counselor in Madison, Wisconsin
NPI 1063558211

Randall L Wagner is a Professional Counselor based in Madison, WI and is specialized in Professional. Randall L Wagner practices in Madison, WI and has the professional credentials of LPC. The NPI Number for Randall L Wagner is 1063558211 and holds a License No. 3203-125 (Wisconsin).

The current practice location address for Randall L Wagner is 1821 S Stoughton Rd, Madison, WI and can be reached out via phone at 608-260-6000 and via fax at 608-260-6376. You can also correspond with Randall L Wagner through the mailing address at 1821 S STOUGHTON RD, MADISON, WI - 53716-2257 (mailing address contact number: 608-260-6000).

Location: 1821 S Stoughton Rd, Madison, WI, 53716-2257
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Provider Profile Details
NPI Number
1063558211
Provider Name
Randall L Wagner
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1821 S Stoughton Rd, Madison, WI, 53716-2257
Phone Number
608-260-6000
Fax Number
608-260-6376
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063558211 05 WI
institution
Provider Business Practice Location Address Details
Address
1821 S Stoughton Rd
City
State
Zip
53716-2257
Phone Number
608-260-6000
Fax Number
608-260-6376
person
Provider Business Mailing Address Details
Address
1821 S Stoughton Rd
City
State
Zip
53716-2257
Phone Number
608-260-6000
Fax Number
608-260-6376
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3203-125 (Wisconsin)
Definition
Definition to come...
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