person
Dianne Wagoner
Addiction (Substance Use Disorder) Counselor in Rockaway, New Jersey
NPI 1285275446

Dianne Wagoner is an Addiction (Substance Use Disorder) Counselor based in Lake Hopatcong, NJ and is specialized in Addiction (Substance Use Disorder). Dianne Wagoner practices in Rockaway, NJ. The NPI Number for Dianne Wagoner is 1285275446 and holds a License No. 37CA000098200 (New Jersey).

The current practice location address for Dianne Wagoner is 200 E Main St, Rockaway, NJ and can be reached out via phone at 973-229-3198.

Location: 200 E Main St, Rockaway, NJ, 07849-1712
person
Provider Profile Details
NPI Number
1285275446
Provider Name
Dianne Wagoner
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 E Main St, Rockaway, NJ, 07849-1712
Phone Number
973-229-3198
Fax Number
Provider Enumeration Date
09/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 E Main St
City
State
Zip
07866-3614
Phone Number
973-229-3198
Fax Number
person
Provider Business Mailing Address Details
Address
200 E Main St
City
State
Zip
07866-3614
Phone Number
973-229-3198
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37CA000098200 (New Jersey)
Definition
Definition to come...
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