Kendall Todd Wagner LICSW

  • NPI 1962552844
According to our database, the NPI number for Kendall Todd Wagner LICSW is 1962552844 and activated since 17 years ago. Kendall Todd Wagner LICSW is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 29 Jubilee Cir, Prescott, WA 99348. You can also contact Kendall Todd Wagner LICSW via telephone number is (509) 749-2103. Provider NPI information was last updated on 04/17/2015.

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Overview of Kendall Todd Wagner LICSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/11/2007
  • Last updated: 04/17/2015

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: CP00000091
  • License State: WA

Provider Mailing Address

  • Address: 1635 Cambridge Dr
    Walla Walla, WA 99362
  • Phone: 509-529-1496
  • Fax:

Provider Practice Location

  • Address: 29 Jubilee Cir
    Prescott, WA 99348
  • Phone: 509-749-2103
  • Fax: 509-749-2076

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: CP00000091
  • License State: WA
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kendall Todd Wagner LICSW?
  • A: The npi number for Kendall Todd Wagner LICSW is 1962552844.
  • Q: What are Kendall Todd Wagner LICSW's specialties?
  • A: Kendall Todd Wagner LICSW's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Kendall Todd Wagner LICSW?
  • A: The medical license number for Kendall Todd Wagner LICSW is CP00000091 and issued in WA in USA.
  • Q: Where is Kendall Todd Wagner LICSW practice location?
  • A: Kendall Todd Wagner LICSW is practicing at 29 Jubilee Cir, Prescott, WA 99348.
  • Q: How to contact Kendall Todd Wagner LICSW?
  • A: You can contact Kendall Todd Wagner LICSW via 509-749-2103.