person
Mr. James A Wagner, CADCIII-RCS
Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin
NPI 1376718288

James A Wagner is an Addiction (Substance Use Disorder) Counselor based in Racine, WI and is specialized in Addiction (Substance Use Disorder). James A Wagner practices in Racine, WI and has the professional credentials of CADCIII-RCS. The NPI Number for James A Wagner is 1376718288 and holds a License No. 10328 (Wisconsin).

The current practice location address for James A Wagner is 524 Main Street, Racine, WI and can be reached out via phone at 262-632-1780 and via fax at 262-632-0895.

Location: 524 Main Street, Racine, WI, 53403-1032
person
Provider Profile Details
NPI Number
1376718288
Provider Name
James A Wagner
Credential
CADCIII-RCS
Provider Entity Type
Individual
Gender
Male
Address
524 Main Street, Racine, WI, 53403-1032
Phone Number
262-632-1780
Fax Number
262-632-0895
Provider Enumeration Date
04/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39172800 05 WI
institution
Provider Business Practice Location Address Details
Address
524 Main Street
City
State
Zip
53403-1032
Phone Number
262-632-1780
Fax Number
262-632-0895
person
Provider Business Mailing Address Details
Address
524 Main Street
City
State
Zip
53403-1032
Phone Number
262-632-1780
Fax Number
262-632-0895
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10328 (Wisconsin)
Definition
Definition to come...
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