person
Mr. William Wagner
Professional Counselor in Largo, Maryland
NPI 1386986677

William Wagner is a Professional Counselor based in Largo, MD and is specialized in Professional. William Wagner practices in Largo, MD. The NPI Number for William Wagner is 1386986677 and holds a License No. LC4481 (Maryland).

The current practice location address for William Wagner is 9701 Apollo Dr, Largo, MD and can be reached out via phone at 410-318-9215 and via fax at 240-764-6741.

Location: 9701 Apollo Dr, Largo, MD, 20774-4783
person
Provider Profile Details
NPI Number
1386986677
Provider Name
William Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
9701 Apollo Dr, Largo, MD, 20774-4783
Phone Number
410-318-9215
Fax Number
240-764-6741
Provider Enumeration Date
03/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LC4481 01 MD MD LICENSE LC4481
institution
Provider Business Practice Location Address Details
Address
9701 Apollo Dr
City
State
Zip
20774-4783
Phone Number
410-318-9215
Fax Number
240-764-6741
person
Provider Business Mailing Address Details
Address
9701 Apollo Dr
City
State
Zip
20774-4783
Phone Number
410-318-9215
Fax Number
240-764-6741
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC4481 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC4481 (Maryland)
Definition
Definition to come...
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