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Mary Wagner-davis, IBCLC
Lactation Consultant (Non-RN) in Roseville, California
NPI 1649697475

Mary Wagner-davis is a Lactation Consultant (Non-RN) based in Roseville, CA. Mary Wagner-davis practices in Roseville, CA and has the professional credentials of IBCLC. The NPI Number for Mary Wagner-davis is 1649697475 and holds a License No. MFC23253 (California).

The current practice location address for Mary Wagner-davis is 604 Fifteen Mile Dr, Roseville, CA and can be reached out via phone at 916-276-8016. You can also correspond with Mary Wagner-davis through the mailing address at PO BOX 176, ROSEVILLE, CA - 95661-0176 (mailing address contact number: 916-276-8016).

Location: 604 Fifteen Mile Dr, Roseville, CA, 95661-0176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649697475
Provider Name
Mary Wagner-davis
Credential
IBCLC
Provider Entity Type
Individual
Gender
Female
Address
604 Fifteen Mile Dr, Roseville, CA, 95661-0176
Phone Number
916-276-8016
Fax Number
Provider Enumeration Date
03/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
604 Fifteen Mile Dr
City
Roseville
State
California
Zip
95678-5921
Phone Number
916-276-8016
Fax Number
person
Provider Business Mailing Address Details
Address
604 Fifteen Mile Dr
City
Roseville
State
California
Zip
95678-5921
Phone Number
916-276-8016
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
10218838 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Lactation Consultant, Non-RN
Speciality
-
Taxonomy
174N00000X
License No.
MFC23253 (California)
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
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