Nicole Wagner

NPI #1013668839 in Mesa, Arizona

Provider Information

NPI Number: 1013668839
Entity Type: Individual
Name: Nicole Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 13, 2022
Last Updated: Jan 13, 2022

Practice Location

Address: 3707 E SOUTHERN AVE STE 2055
City: Mesa
State: Arizona
ZIP Code: 85206-6217
Phone: (605) 641-2972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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