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Steven William Wagner
Mental Health Counselor in Puyallup, Washington
NPI 1437784584

Steven William Wagner is a Mental Health Counselor based in Puyallup, WA and is specialized in Mental Health. Steven William Wagner practices in Puyallup, WA. The NPI Number for Steven William Wagner is 1437784584 and holds a License No. MC60834648 (Washington).

The current practice location address for Steven William Wagner is 12909 106Th Avenue Ct E, Puyallup, WA and can be reached out via phone at 253-259-7767.

Location: 12909 106Th Avenue Ct E, Puyallup, WA, 98374-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437784584
Provider Name
Steven William Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
12909 106Th Avenue Ct E, Puyallup, WA, 98374-3048
Phone Number
253-259-7767
Fax Number
Provider Enumeration Date
03/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12909 106Th Avenue Ct E
City
Puyallup
State
Washington
Zip
98374-3048
Phone Number
253-259-7767
Fax Number
person
Provider Business Mailing Address Details
Address
12909 106Th Avenue Ct E
City
Puyallup
State
Washington
Zip
98374-3048
Phone Number
253-259-7767
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60834648 (Washington)
Definition
Definition to come...
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