person
Benton Wagner
Mental Health Counselor in Hailey, Idaho
NPI 1346668852

Benton Wagner is a Mental Health Counselor based in Fairfield, ID and is specialized in Mental Health. Benton Wagner practices in Hailey, ID. The NPI Number for Benton Wagner is 1346668852 and holds a License No. LCPC-6760 (Idaho).

The current practice location address for Benton Wagner is 418 N River St, Hailey, ID and can be reached out via phone at 612-247-9768. You can also correspond with Benton Wagner through the mailing address at PO BOX 424, FAIRFIELD, ID - 83327-0424 (mailing address contact number: 612-247-9768).

Location: 418 N River St, Hailey, ID, 83327-0424
person
Provider Profile Details
NPI Number
1346668852
Provider Name
Benton Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
418 N River St, Hailey, ID, 83327-0424
Phone Number
612-247-9768
Fax Number
Provider Enumeration Date
04/01/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
418 N River St
City
State
Zip
83333-8513
Phone Number
612-247-9768
Fax Number
person
Provider Business Mailing Address Details
Address
418 N River St
City
State
Zip
83333-8513
Phone Number
612-247-9768
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-6760 (Idaho)
Definition
Definition to come...
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