Gary Allen Wagenaar, MS LADC

NPI #1851683049 in Austin, Minnesota

Provider Information

NPI Number
1851683049
Entity Type
Individual
Name
Gary Allen Wagenaar, MS LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
MS LADC
Enumeration Date
May 6, 2011
Last Updated
May 6, 2011

Practice Location

Address
1000 1ST DR NW
City
Austin
ZIP Code
55912-2941
Phone
(507) 434-1928

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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