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Richard C Wagner
Counselor in Santa Rosa, California
NPI 1578740296

Richard C Wagner is a Counselor based in Santa Rosa, CA. Richard C Wagner practices in Santa Rosa, CA. The NPI Number for Richard C Wagner is 1578740296 and holds a License No. (California).

The current practice location address for Richard C Wagner is 3322 Chanate Rd, Santa Rosa, CA and can be reached out via phone at 707-565-4850.

Location: 3322 Chanate Rd, Santa Rosa, CA, 95404-1708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578740296
Provider Name
Richard C Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
3322 Chanate Rd, Santa Rosa, CA, 95404-1708
Phone Number
707-565-4850
Fax Number
Provider Enumeration Date
01/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3322 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1708
Phone Number
707-565-4850
Fax Number
person
Provider Business Mailing Address Details
Address
3322 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1708
Phone Number
707-565-4850
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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