person
Mr. Benjamin Wagner, MA
Professional Counselor in Annandale, Virginia
NPI 1417069832

Benjamin Wagner is a Professional Counselor based in Annandale, VA and is specialized in Professional. Benjamin Wagner practices in Annandale, VA and has the professional credentials of MA. The NPI Number for Benjamin Wagner is 1417069832 and holds a License No. 0701004002 (Virginia).

The current practice location address for Benjamin Wagner is 3340 Woodburn Rd, Annandale, VA and can be reached out via phone at 703-207-7826 and via fax at 703-280-9518.

Location: 3340 Woodburn Rd, Annandale, VA, 22003-1202
person
Provider Profile Details
NPI Number
1417069832
Provider Name
Benjamin Wagner
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
3340 Woodburn Rd, Annandale, VA, 22003-1202
Phone Number
703-207-7826
Fax Number
703-280-9518
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3340 Woodburn Rd
City
State
Zip
22003-1202
Phone Number
703-207-7826
Fax Number
703-280-9518
person
Provider Business Mailing Address Details
Address
3340 Woodburn Rd
City
State
Zip
22003-1202
Phone Number
703-207-7826
Fax Number
703-280-9518
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701004002 (Virginia)
Definition
Definition to come...
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