Keith Harold Wagoner, COUNSELOR is an addiction (substance use disorder) counselor in Sacramento, CA. Keith Harold Wagoner, COUNSELOR NPI is 1114268588. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2150 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817-337
Phone: (916) 875-1000
The enumeration date for this NPI number is 3/11/2013 and was last updated on 12/12/2019.