Kai Jonathan Wagner
NPI #1063165587 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1063165587
- Entity Type
- Individual
- Name
- Kai Jonathan Wagner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Feb 3, 2022
- Last Updated
- Oct 14, 2022
Practice Location
- Address
- 317 N PINES RD
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99206-5120
- Phone
- (509) 838-4651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Counselor |
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