person
Jeffrey Wagner, LPCC
Mental Health Counselor in San Diego, California
NPI 1255731402

Jeffrey Wagner is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Jeffrey Wagner practices in San Diego, CA and has the professional credentials of LPCC. The NPI Number for Jeffrey Wagner is 1255731402 and holds a License No. 11955 (California).

The current practice location address for Jeffrey Wagner is 3491 Kurtz St Ste 150, San Diego, CA and can be reached out via phone at 619-320-2404.

Location: 3491 Kurtz St Ste 150, San Diego, CA, 92110-4430
person
Provider Profile Details
NPI Number
1255731402
Provider Name
Jeffrey Wagner
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
3491 Kurtz St Ste 150, San Diego, CA, 92110-4430
Phone Number
619-320-2404
Fax Number
Provider Enumeration Date
08/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37378100 05 CA
institution
Provider Business Practice Location Address Details
Address
3491 Kurtz St Ste 150
City
State
Zip
92110-4430
Phone Number
619-320-2404
Fax Number
person
Provider Business Mailing Address Details
Address
3491 Kurtz St Ste 150
City
State
Zip
92110-4430
Phone Number
619-320-2404
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
11955 (California)
Definition
Definition to come...
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