person
Mr. Robert Bruce Wagner, LPC
Professional Counselor in Niles, Michigan
NPI 1477608107

Robert Bruce Wagner is a Professional Counselor based in Niles, MI and is specialized in Professional. Robert Bruce Wagner practices in Niles, MI and has the professional credentials of LPC. The NPI Number for Robert Bruce Wagner is 1477608107 and holds a License No. 6401000453 (Michigan).

The current practice location address for Robert Bruce Wagner is 333 N 2Nd St, Niles, MI and can be reached out via phone at 269-449-8951.

Location: 333 N 2Nd St, Niles, MI, 49120-2258
person
Provider Profile Details
NPI Number
1477608107
Provider Name
Robert Bruce Wagner
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
333 N 2Nd St, Niles, MI, 49120-2258
Phone Number
269-449-8951
Fax Number
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
333 N 2Nd St
City
State
Zip
49120-2258
Phone Number
269-449-8951
Fax Number
person
Provider Business Mailing Address Details
Address
333 N 2Nd St
City
State
Zip
49120-2258
Phone Number
269-449-8951
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401000453 (Michigan)
Definition
Definition to come...
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