Benton Wagner

NPI #1346668852 in Hailey, Idaho

Provider Information

NPI Number
1346668852
Entity Type
Individual
Name
Benton Wagner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Apr 1, 2014
Last Updated
Mar 5, 2024

Practice Location

Address
418 N RIVER ST
City
Hailey
State
Idaho
ZIP Code
83333-8513
Phone
(612) 247-9768

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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