Breanna Wagner
NPI #1083120984 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1083120984
- Entity Type
- Individual
- Name
- Breanna Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 14, 2017
- Last Updated
- Dec 14, 2017
Practice Location
- Address
- 11010 PRAIRIE LAKES DR STE 350
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55344-3801
- Phone
- (952) 746-2522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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