person
Mr. Matthew D Wagner
Mental Health Counselor in Colorado Springs, Colorado
NPI 1174811798

Matthew D Wagner is a Mental Health Counselor based in Colorado Springs, CO and is specialized in Mental Health. Matthew D Wagner practices in Colorado Springs, CO. The NPI Number for Matthew D Wagner is 1174811798 and holds a License No. (Colorado).

The current practice location address for Matthew D Wagner is 17 Farragut Ave, Colorado Springs, CO and can be reached out via phone at 440-521-6007.

Location: 17 Farragut Ave, Colorado Springs, CO, 80922-2212
person
Provider Profile Details
NPI Number
1174811798
Provider Name
Matthew D Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
17 Farragut Ave, Colorado Springs, CO, 80922-2212
Phone Number
440-521-6007
Fax Number
Provider Enumeration Date
07/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 Farragut Ave
City
State
Zip
80909-5625
Phone Number
440-521-6007
Fax Number
person
Provider Business Mailing Address Details
Address
17 Farragut Ave
City
State
Zip
80909-5625
Phone Number
440-521-6007
Fax Number
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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