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Mr. Edward T Wagner III
Mental Health Counselor in Royersford, Pennsylvania
NPI 1790310860

Edward T Wagner III is a Mental Health Counselor based in Gilbertsville, PA and is specialized in Mental Health. Edward T Wagner III practices in Royersford, PA. The NPI Number for Edward T Wagner III is 1790310860 and holds a License No. PC012234 (Pennsylvania).

The current practice location address for Edward T Wagner III is 201 N 4Th Ave Ste 201, Royersford, PA and can be reached out via phone at 610-948-0393.

Location: 201 N 4Th Ave Ste 201, Royersford, PA, 19525-8839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790310860
Provider Name
Edward T Wagner III
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 N 4Th Ave Ste 201, Royersford, PA, 19525-8839
Phone Number
610-948-0393
Fax Number
Provider Enumeration Date
03/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 N 4Th Ave Ste 201
City
Royersford
State
Pennsylvania
Zip
19468-1952
Phone Number
610-948-0393
Fax Number
person
Provider Business Mailing Address Details
Address
201 N 4Th Ave Ste 201
City
Royersford
State
Pennsylvania
Zip
19468-1952
Phone Number
610-948-0393
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
PC012234 (Pennsylvania)
Definition
Definition to come...
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