Samantha Brooke Wagner
NPI #1013415199 in Oceanside, California
Provider Information
- NPI Number
- 1013415199
- Entity Type
- Individual
- Name
- Samantha Brooke Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 24, 2018
- Last Updated
- Jan 24, 2018
Practice Location
- Address
- 3230 WARING CT STE A
- City
- Oceanside
- State
- California
- ZIP Code
- 92056-4509
- Phone
- (760) 305-7528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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