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James L Wagner, LMHP
Mental Health Counselor in South Sioux City, Nebraska
NPI 1841464799

James L Wagner is a Mental Health Counselor based in Dakota City, NE and is specialized in Mental Health. James L Wagner practices in South Sioux City, NE and has the professional credentials of LMHP. The NPI Number for James L Wagner is 1841464799 and holds a License No. 2311 (Nebraska).

The current practice location address for James L Wagner is 402 W 19Th St, South Sioux City, NE and can be reached out via phone at 402-494-5265.

Location: 402 W 19Th St, South Sioux City, NE, 68731-0268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841464799
Provider Name
James L Wagner
Credential
LMHP
Provider Entity Type
Individual
Gender
Male
Address
402 W 19Th St, South Sioux City, NE, 68731-0268
Phone Number
402-494-5265
Fax Number
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2311 05 NE
institution
Provider Business Practice Location Address Details
Address
402 W 19Th St
City
South Sioux City
State
Nebraska
Zip
68776-2639
Phone Number
402-494-5265
Fax Number
person
Provider Business Mailing Address Details
Address
402 W 19Th St
City
South Sioux City
State
Nebraska
Zip
68776-2639
Phone Number
402-494-5265
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2311 (Nebraska)
Definition
Definition to come...
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