MR. Edward T Wagner III, LPC
NPI #1790310860 in Gilbertsville, Pennsylvania
Provider Information
- NPI Number
- 1790310860
- Entity Type
- Individual
- Name
- MR. Edward T Wagner III, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Mar 9, 2020
- Last Updated
- Nov 29, 2024
Practice Location
- Address
- 1831 SWAMP PIKE STE 100
- City
- Gilbertsville
- State
- Pennsylvania
- ZIP Code
- 19525-8927
- Phone
- (610) 484-0736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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