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Mrs. Jennifer Wagner, LMHC,SUDPT
Mental Health Counselor in Kent, Washington
NPI 1528243375

Jennifer Wagner is a Mental Health Counselor based in Kent, WA and is specialized in Mental Health. Jennifer Wagner practices in Kent, WA and has the professional credentials of LMHC,SUDPT. The NPI Number for Jennifer Wagner is 1528243375 and holds a License No. 60662255 (Washington).

The current practice location address for Jennifer Wagner is 232 2Nd Ave S Ste 201, Kent, WA and can be reached out via phone at 253-859-0300 and via fax at 253-859-0745.

Location: 232 2Nd Ave S Ste 201, Kent, WA, 98032-5862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528243375
Provider Name
Jennifer Wagner
Credential
LMHC,SUDPT
Provider Entity Type
Individual
Gender
Female
Address
232 2Nd Ave S Ste 201, Kent, WA, 98032-5862
Phone Number
253-859-0300
Fax Number
253-859-0745
Provider Enumeration Date
12/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
232 2Nd Ave S Ste 201
City
Kent
State
Washington
Zip
98032-5862
Phone Number
253-859-0300
Fax Number
253-859-0745
person
Provider Business Mailing Address Details
Address
232 2Nd Ave S Ste 201
City
Kent
State
Washington
Zip
98032-5862
Phone Number
253-859-0300
Fax Number
253-859-0745
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CO60662255 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
60662255 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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