Jason Wagner
NPI #1093014334 in Watsonville, California
Provider Information
- NPI Number
- 1093014334
- Entity Type
- Individual
- Name
- Jason Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 25, 2011
- Last Updated
- Jul 29, 2011
Practice Location
- Address
- 360 WHISKEY HILL RD
- City
- Watsonville
- State
- California
- ZIP Code
- 95076-8521
- Phone
- (831) 724-9333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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