person
Mr. Brandal J Wagener, LMHC
Mental Health Counselor in Davenport, Iowa
NPI 1760038475

Brandal J Wagener is a Mental Health Counselor based in Davenport, IA and is specialized in Mental Health. Brandal J Wagener practices in Davenport, IA and has the professional credentials of LMHC. The NPI Number for Brandal J Wagener is 1760038475 and holds a License No. 093843 (Iowa).

The current practice location address for Brandal J Wagener is 4620 E 53Rd St Ste 200, Davenport, IA and can be reached out via phone at 224-216-4209. You can also correspond with Brandal J Wagener through the mailing address at 4620 E 53RD ST STE 200, DAVENPORT, IA - 52807-3627 (mailing address contact number: 224-216-4209).

Location: 4620 E 53Rd St Ste 200, Davenport, IA, 52807-3627
person
Provider Profile Details
NPI Number
1760038475
Provider Name
Brandal J Wagener
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
4620 E 53Rd St Ste 200, Davenport, IA, 52807-3627
Phone Number
224-216-4209
Fax Number
Provider Enumeration Date
08/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4620 E 53Rd St Ste 200
City
State
Zip
52807-3627
Phone Number
224-216-4209
Fax Number
person
Provider Business Mailing Address Details
Address
4620 E 53Rd St Ste 200
City
State
Zip
52807-3627
Phone Number
224-216-4209
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
093843 (Iowa)
Definition
Definition to come...
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