Kelly Jean Wagner LMHC

NPI 1750513727 - Counselor - 101YM0800X

NPI Details
NPI 1750513727
Gender Female
Enumeration Date 08/10/2009
Last Updated 08/10/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
STE 203
SIOUX CITY IA, 51106-4710, US
Phone (712) 276-9000
Fax (712) 276-4917
Business Location
230 9TH AVE N
FORT DODGE IA, 50501-2411, US
Phone (515) 573-3138
Fax (515) 573-3130
Taxonomy Code 101YM0800X
License State Iowa
License Number 00850
Remove 1750513727 NPI Number

According to our database, Kelly Jean Wagner LMHC NPI is 1750513727, taxonomy code is 101YM0800X and license number is 00850, license state is located at Iowa. Kelly Jean Wagner LMHC physically located at 4301 Sergeant Rd, Sioux City IA, 51106-4710. NPI Number Kelly Jean Wagner LMHC has the Individual type.

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1750513727 NPI number is provided on an as is basis without warranty of any kind. 1750513727 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Jean Wagner LMHC are for informational purposes only.