MR. Jeffrie L Wagner, MFT, CSAC

NPI #1265648752 in Kaneohe, Hawaii

Provider Information

NPI Number
1265648752
Entity Type
Individual
Name
MR. Jeffrie L Wagner, MFT, CSAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MFT, CSAC
Enumeration Date
May 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
46-050 KONANE PL
State
Hawaii
ZIP Code
96744-6121
Phone
(808) 247-7962

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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