Vanessa Lynne Wagener, B.A.

NPI #1396161055 in Diamond Springs, California

Provider Information

NPI Number: 1396161055
Entity Type: Individual
Name: Vanessa Lynne Wagener, B.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: B.A.
Enumeration Date: Mar 5, 2014
Last Updated: Mar 5, 2014

Practice Location

Address: 768 PLEASANT VALLEY RD
Address 2: SUITE 304
City: Diamond Springs
State: California
ZIP Code: 95619-9260
Phone: (530) 621-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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