person
Marisa Wagner, MFTTRAINEE
Mental Health Counselor in Defiance, Ohio
NPI 1336816271

Marisa Wagner is a Mental Health Counselor based in Defiance, OH and is specialized in Mental Health. Marisa Wagner practices in Defiance, OH and has the professional credentials of MFTTRAINEE. The NPI Number for Marisa Wagner is 1336816271 and holds a License No. M.2100239-TRNE (Ohio).

The current practice location address for Marisa Wagner is 8081 Adams Ridge Rd, Defiance, OH and can be reached out via phone at 419-239-2113 and via fax at 419-239-2113.

Location: 8081 Adams Ridge Rd, Defiance, OH, 43512-1433
person
Provider Profile Details
NPI Number
1336816271
Provider Name
Marisa Wagner
Credential
MFTTRAINEE
Provider Entity Type
Individual
Gender
Female
Address
8081 Adams Ridge Rd, Defiance, OH, 43512-1433
Phone Number
419-239-2113
Fax Number
419-239-2113
Provider Enumeration Date
08/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M.2100239-TRNE 01 OH OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND FAMILY THERAPY BOARD
institution
Provider Business Practice Location Address Details
Address
8081 Adams Ridge Rd
City
State
Zip
43512-9173
Phone Number
419-239-2113
Fax Number
419-239-2113
person
Provider Business Mailing Address Details
Address
8081 Adams Ridge Rd
City
State
Zip
43512-9173
Phone Number
419-239-2113
Fax Number
419-239-2113
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
M.2100239-TRNE (Ohio)
Definition
Definition to come...
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