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Scott D Wagner I
Counselor in Fairfield, California
NPI 1871113316

Scott D Wagner I is a Counselor based in Fairfield, CA. Scott D Wagner I practices in Fairfield, CA. The NPI Number for Scott D Wagner I is 1871113316 and holds a License No. (California).

The current practice location address for Scott D Wagner I is 319 E Tabor Ave Apt 15319, Fairfield, CA and can be reached out via phone at 510-372-3757.

Location: 319 E Tabor Ave Apt 15319, Fairfield, CA, 94533-3955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871113316
Provider Name
Scott D Wagner I
Credential
Provider Entity Type
Individual
Gender
Male
Address
319 E Tabor Ave Apt 15319, Fairfield, CA, 94533-3955
Phone Number
510-372-3757
Fax Number
Provider Enumeration Date
04/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
319 E Tabor Ave Apt 15319
City
Fairfield
State
California
Zip
94533-3955
Phone Number
510-372-3757
Fax Number
person
Provider Business Mailing Address Details
Address
319 E Tabor Ave Apt 15319
City
Fairfield
State
California
Zip
94533-3955
Phone Number
510-372-3757
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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