person
Natasha Anne Wagner, RADT
Addiction (Substance Use Disorder) Counselor in Grass Valley, California
NPI 1366294829

Natasha Anne Wagner is an Addiction (Substance Use Disorder) Counselor based in Grass Valley, CA and is specialized in Addiction (Substance Use Disorder). Natasha Anne Wagner practices in Grass Valley, CA and has the professional credentials of RADT. The NPI Number for Natasha Anne Wagner is 1366294829 and holds a License No. R1556440424 (California).

The current practice location address for Natasha Anne Wagner is 180 Sierra College Dr, Grass Valley, CA and can be reached out via phone at 530-273-9541.

Location: 180 Sierra College Dr, Grass Valley, CA, 95949-9109
person
Provider Profile Details
NPI Number
1366294829
Provider Name
Natasha Anne Wagner
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
180 Sierra College Dr, Grass Valley, CA, 95949-9109
Phone Number
530-273-9541
Fax Number
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
180 Sierra College Dr
City
State
Zip
95945-5768
Phone Number
530-273-9541
Fax Number
person
Provider Business Mailing Address Details
Address
180 Sierra College Dr
City
State
Zip
95945-5768
Phone Number
530-273-9541
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1556440424 (California)
Definition
Definition to come...
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