person
Nathan Wagner, LPC,CSAC
Professional Counselor in Manassas, Virginia
NPI 1497100200

Nathan Wagner is a Professional Counselor based in Bristow, VA and is specialized in Professional. Nathan Wagner practices in Manassas, VA and has the professional credentials of LPC,CSAC. The NPI Number for Nathan Wagner is 1497100200 and holds a License No. 070102980 (Virginia).

The current practice location address for Nathan Wagner is 9720 Capital Ct, Manassas, VA and can be reached out via phone at 571-921-4812.

Location: 9720 Capital Ct, Manassas, VA, 20136-2180
person
Provider Profile Details
NPI Number
1497100200
Provider Name
Nathan Wagner
Credential
LPC,CSAC
Provider Entity Type
Individual
Gender
Male
Address
9720 Capital Ct, Manassas, VA, 20136-2180
Phone Number
571-921-4812
Fax Number
Provider Enumeration Date
04/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9720 Capital Ct
City
State
Zip
20110-2044
Phone Number
571-921-4812
Fax Number
person
Provider Business Mailing Address Details
Address
9720 Capital Ct
City
State
Zip
20110-2044
Phone Number
571-921-4812
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0701006557 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
070102980 (Virginia)
Definition
Definition to come...
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