Dianne Wagoner
NPI #1285275446 in Rockaway, New Jersey
Provider Information
- NPI Number
- 1285275446
- Entity Type
- Individual
- Name
- Dianne Wagoner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 30, 2019
- Last Updated
- Sep 30, 2019
Practice Location
- Address
- 200 E MAIN ST
- City
- Rockaway
- State
- New Jersey
- ZIP Code
- 07866-3614
- Phone
- (973) 229-3198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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