person
Gary Allen Wagenaar, MSLADC
Addiction (Substance Use Disorder) Counselor in Austin, Minnesota
NPI 1851683049

Gary Allen Wagenaar is an Addiction (Substance Use Disorder) Counselor based in Austin, MN and is specialized in Addiction (Substance Use Disorder). Gary Allen Wagenaar practices in Austin, MN and has the professional credentials of MSLADC. The NPI Number for Gary Allen Wagenaar is 1851683049 and holds a License No. 300609 (Minnesota).

The current practice location address for Gary Allen Wagenaar is 1000 1St Dr Nw, Austin, MN and can be reached out via phone at 507-434-1928 and via fax at 507-434-1927.

Location: 1000 1St Dr Nw, Austin, MN, 55912-2941
person
Provider Profile Details
NPI Number
1851683049
Provider Name
Gary Allen Wagenaar
Credential
MSLADC
Provider Entity Type
Individual
Gender
Male
Address
1000 1St Dr Nw, Austin, MN, 55912-2941
Phone Number
507-434-1928
Fax Number
507-434-1927
Provider Enumeration Date
05/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 1St Dr Nw
City
State
Zip
55912-2941
Phone Number
507-434-1928
Fax Number
507-434-1927
person
Provider Business Mailing Address Details
Address
1000 1St Dr Nw
City
State
Zip
55912-2941
Phone Number
507-434-1928
Fax Number
507-434-1927
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300609 (Minnesota)
Definition
Definition to come...
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