D. B. Tug Wagstaff, Lpc
NPI #1053638031 in American Fork, Utah
Provider Information
- NPI Number
- 1053638031
- Entity Type
- Organization
- Organization Name
- D. B. Tug Wagstaff, Lpc
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 29, 2010
- Last Updated
- Dec 12, 2012
Practice Location
- Address
- 1021 E 70 N
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003-2914
- Phone
- (801) 376-4787
Authorized Official
- Name
- MR. DOUG 'TUG' B. WAGSTAFF, M.ED., LPC
- Title
- OWNER
- Phone
- (801) 376-4787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Unit |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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