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Melisa Catherine Wagner
Mental Health Counselor in Harrison, Michigan
NPI 1699480566

Melisa Catherine Wagner is a Mental Health Counselor based in Harrison, MI and is specialized in Mental Health. Melisa Catherine Wagner practices in Harrison, MI. The NPI Number for Melisa Catherine Wagner is 1699480566 and holds a License No. (Michigan).

The current practice location address for Melisa Catherine Wagner is 6862 Railroad Rd, Harrison, MI and can be reached out via phone at 989-313-3039.

Location: 6862 Railroad Rd, Harrison, MI, 48625-9067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699480566
Provider Name
Melisa Catherine Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
6862 Railroad Rd, Harrison, MI, 48625-9067
Phone Number
989-313-3039
Fax Number
Provider Enumeration Date
01/16/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0035840738 05 MI
institution
Provider Business Practice Location Address Details
Address
6862 Railroad Rd
City
Harrison
State
Michigan
Zip
48625-9067
Phone Number
989-313-3039
Fax Number
person
Provider Business Mailing Address Details
Address
6862 Railroad Rd
City
Harrison
State
Michigan
Zip
48625-9067
Phone Number
989-313-3039
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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