Johanna Faith Wagner

NPI #1871325977 in Keizer, Oregon

Provider Information

NPI Number
1871325977
Entity Type
Individual
Name
Johanna Faith Wagner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Aug 16, 2024
Last Updated
Aug 16, 2024

Practice Location

Address
10327 RIVER RD NE
City
Keizer
State
Oregon
ZIP Code
97303-9738
Phone
(541) 758-5900

Specialties & Taxonomy Codes

Specialty
Counselor

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