Ricki Wagner, LMFT

NPI #1003259821 in Moraga, California

Provider Information

NPI Number: 1003259821
Entity Type: Individual
Name: Ricki Wagner, LMFT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Marriage & Family Therapist
Credential: LMFT
Enumeration Date: Apr 10, 2013
Last Updated: Apr 10, 2013

Practice Location

Address: 466 RHEEM BLVD
City: Moraga
State: California
ZIP Code: 94556-2357
Phone: (925) 247-0225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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