person
Mr. David Michael Wagner, LMHC
Professional Counselor in St Petersburg, Florida
NPI 1538236757

David Michael Wagner is a Professional Counselor based in St Petersburg, FL and is specialized in Professional. David Michael Wagner practices in St Petersburg, FL and has the professional credentials of LMHC. The NPI Number for David Michael Wagner is 1538236757 and holds a License No. MH1455 (Florida).

The current practice location address for David Michael Wagner is 8335 40Th Ave N, St Petersburg, FL and can be reached out via phone at 727-344-0315 and via fax at 727-344-0315.

Location: 8335 40Th Ave N, St Petersburg, FL, 33709-3934
person
Provider Profile Details
NPI Number
1538236757
Provider Name
David Michael Wagner
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
8335 40Th Ave N, St Petersburg, FL, 33709-3934
Phone Number
727-344-0315
Fax Number
727-344-0315
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH1455 01 FL LMHC LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
8335 40Th Ave N
City
State
Zip
33709-3934
Phone Number
727-344-0315
Fax Number
727-344-0315
person
Provider Business Mailing Address Details
Address
8335 40Th Ave N
City
State
Zip
33709-3934
Phone Number
727-344-0315
Fax Number
727-344-0315
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MH1455 (Florida)
Definition
Definition to come...
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