KRISTIN LYNN WAGNER LMHC NPI 1477219111

NPI Information

NPI: 1477219111
Provider Name: KRISTIN LYNN WAGNER, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2215 BURDETT AVENUE
SAMARITAN CAMPUS BEHAVIORAL HEALTH
TROY, NY
ZIP 12180
Phone: (518) 271-3554
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Kristin Lynn Wagner, LMHC is a mental health counselor in Troy, NY. Kristin Lynn Wagner, LMHC NPI is 1477219111. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2215 BURDETT AVENUE
SAMARITAN CAMPUS BEHAVIORAL HEALTH
TROY, NY
ZIP 12180-466
Phone: (518) 271-3554

The enumeration date for this NPI number is 11/16/2021 and was last updated on 11/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	P110131	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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