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Mr. Samuel Charles Wagner V, LPC
Professional Counselor in Fairfax, Virginia
NPI 1437863222

Samuel Charles Wagner V is a Professional Counselor based in Culpeper, VA and is specialized in Professional. Samuel Charles Wagner V practices in Fairfax, VA and has the professional credentials of LPC. The NPI Number for Samuel Charles Wagner V is 1437863222 and holds a License No. 0701012099 (Virginia).

The current practice location address for Samuel Charles Wagner V is 8221 Willow Oaks Corporate Dr, Fairfax, VA and can be reached out via phone at 571-595-7532.

Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA, 22701-1994
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437863222
Provider Name
Samuel Charles Wagner V
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
8221 Willow Oaks Corporate Dr, Fairfax, VA, 22701-1994
Phone Number
571-595-7532
Fax Number
Provider Enumeration Date
01/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8221 Willow Oaks Corporate Dr
City
Fairfax
State
Virginia
Zip
22031-4512
Phone Number
571-595-7532
Fax Number
person
Provider Business Mailing Address Details
Address
8221 Willow Oaks Corporate Dr
City
Fairfax
State
Virginia
Zip
22031-4512
Phone Number
571-595-7532
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0701012099 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701012099 (Virginia)
Definition
Definition to come...
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