person
Breanna Wagner
Addiction (Substance Use Disorder) Counselor in Eden Prairie, Minnesota
NPI 1083120984

Breanna Wagner is an Addiction (Substance Use Disorder) Counselor based in New Brighton, MN and is specialized in Addiction (Substance Use Disorder). Breanna Wagner practices in Eden Prairie, MN. The NPI Number for Breanna Wagner is 1083120984 and holds a License No. (Minnesota).

The current practice location address for Breanna Wagner is 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN and can be reached out via phone at 952-746-2522. You can also correspond with Breanna Wagner through the mailing address at 1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN - 55112-1789 (mailing address contact number: ).

Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN, 55112-1789
person
Provider Profile Details
NPI Number
1083120984
Provider Name
Breanna Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN, 55112-1789
Phone Number
952-746-2522
Fax Number
Provider Enumeration Date
12/14/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11010 Prairie Lakes Dr Ste 350
City
State
Zip
55344-3801
Phone Number
952-746-2522
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Silver Lake Rd Nw Ste 110
City
State
Zip
55112-1789
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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