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Landi Gayle Wagner, BS
Counselor in Lamar, Colorado
NPI 1316112006

Landi Gayle Wagner is a Counselor based in La Junta, CO. Landi Gayle Wagner practices in Lamar, CO and has the professional credentials of BS. The NPI Number for Landi Gayle Wagner is 1316112006 and holds a License No. (Colorado).

The current practice location address for Landi Gayle Wagner is 100 Kendall Dr, Lamar, CO and can be reached out via phone at 719-336-7501 and via fax at 719-336-7453.

Location: 100 Kendall Dr, Lamar, CO, 81050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316112006
Provider Name
Landi Gayle Wagner
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
100 Kendall Dr, Lamar, CO, 81050
Phone Number
719-336-7501
Fax Number
719-336-7453
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Kendall Dr
City
Lamar
State
Colorado
Zip
81052
Phone Number
719-336-7501
Fax Number
719-336-7453
person
Provider Business Mailing Address Details
Address
100 Kendall Dr
City
Lamar
State
Colorado
Zip
81052
Phone Number
719-336-7501
Fax Number
719-336-7453
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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