person
Michael J. Wagner
Mental Health Counselor in Santa Fe, New Mexico
NPI 1144098518

Michael J. Wagner is a Mental Health Counselor based in Howell, NM and is specialized in Mental Health. Michael J. Wagner practices in Santa Fe, NM. The NPI Number for Michael J. Wagner is 1144098518 and holds a License No. (New Mexico).

The current practice location address for Michael J. Wagner is 4001 Office Court Driver Ste 102, Santa Fe, NM and can be reached out via phone at 505-395-9437 and via fax at 505-930-5427.

Location: 4001 Office Court Driver Ste 102, Santa Fe, NM, 07731-3414
person
Provider Profile Details
NPI Number
1144098518
Provider Name
Michael J. Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
4001 Office Court Driver Ste 102, Santa Fe, NM, 07731-3414
Phone Number
505-395-9437
Fax Number
505-930-5427
Provider Enumeration Date
12/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4001 Office Court Driver Ste 102
City
State
Zip
87507
Phone Number
505-395-9437
Fax Number
505-930-5427
person
Provider Business Mailing Address Details
Address
4001 Office Court Driver Ste 102
City
State
Zip
87507
Phone Number
505-395-9437
Fax Number
505-930-5427
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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