James A Wagner CADCIII-RCS

NPI 1376718288 - Counselor - 101YA0400X

NPI Details
NPI 1376718288
Gender Male
Enumeration Date 04/23/2008
Last Updated 04/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
524 MAIN STREET
SUITE 302
RACINE WI, 53403-1032, US
Phone (262) 632-1780
Fax (262) 632-0895
Business Location
524 MAIN STREET
SUITE 302
RACINE WI, 53403-1032, US
Phone (262) 632-1780
Fax (262) 632-0895
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 10328
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According to our database, Mr. James A Wagner CADCIII-RCS NPI is 1376718288, taxonomy code is 101YA0400X and license number is 10328, license state is located at Wisconsin. James A Wagner CADCIII-RCS physically located at 524 Main Street, Racine WI, 53403-1032. NPI Number James A Wagner CADCIII-RCS has the Individual type.

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1376718288 NPI number is provided on an as is basis without warranty of any kind. 1376718288 is maintained by the National Plan & Provider Enumeration System. The contents of James A Wagner CADCIII-RCS are for informational purposes only.