MR. Gerald Wagner, LADC is an addiction (substance use disorder) counselor in New London, CT. MR. Gerald Wagner, LADC NPI is 1962759084. 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:
21 MONTAUK AVE
NEW LONDON, CT
ZIP 06320-906
Phone: (860) 271-4715
Fax: (860) 271-4797
The enumeration date for this NPI number is 8/8/2012 and was last updated on 12/21/2016.