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Mrs. Theresa Ann Wagner
Mental Health Counselor in Eureka, California
NPI 1093981292

Theresa Ann Wagner is a Mental Health Counselor based in Eureka, CA and is specialized in Mental Health. Theresa Ann Wagner practices in Eureka, CA. The NPI Number for Theresa Ann Wagner is 1093981292 and holds a License No. (California).

The current practice location address for Theresa Ann Wagner is 720 Wood St, Eureka, CA and can be reached out via phone at 707-268-2990.

Location: 720 Wood St, Eureka, CA, 95501-4413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093981292
Provider Name
Theresa Ann Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 Wood St, Eureka, CA, 95501-4413
Phone Number
707-268-2990
Fax Number
Provider Enumeration Date
05/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2990
Fax Number
person
Provider Business Mailing Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2990
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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