person
Mr. Brian R. Wagner, MACASAC
Addiction (Substance Use Disorder) Counselor in Valley Stream, New York
NPI 1831204270

Brian R. Wagner is an Addiction (Substance Use Disorder) Counselor based in Valley Stream, NY and is specialized in Addiction (Substance Use Disorder). Brian R. Wagner practices in Valley Stream, NY and has the professional credentials of MACASAC. The NPI Number for Brian R. Wagner is 1831204270 and holds a License No. 10434 (New York).

The current practice location address for Brian R. Wagner is 73 S Central Ave, Valley Stream, NY and can be reached out via phone at 516-872-9698 and via fax at 516-872-8758.

Location: 73 S Central Ave, Valley Stream, NY, 11580-5402
person
Provider Profile Details
NPI Number
1831204270
Provider Name
Brian R. Wagner
Credential
MACASAC
Provider Entity Type
Individual
Gender
Male
Address
73 S Central Ave, Valley Stream, NY, 11580-5402
Phone Number
516-872-9698
Fax Number
516-872-8758
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
73 S Central Ave
City
State
Zip
11580-5402
Phone Number
516-872-9698
Fax Number
516-872-8758
person
Provider Business Mailing Address Details
Address
73 S Central Ave
City
State
Zip
11580-5402
Phone Number
516-872-9698
Fax Number
516-872-8758
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10434 (New York)
Definition
Definition to come...
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