ANTHONY JOSEPH WAGNER NPI 1790050433

NPI Information

Anthony Joseph Wagner is a counselor in Salem, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Anthony Joseph Wagner NPI is 1790050433. 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:

3878 BEVERLY AVE NE
BUILDING H
SALEM, OR
ZIP 97305-394
Phone: (503) 576-4692

The enumeration date for this NPI number is 3/13/2012 and was last updated on 3/13/2012.

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:

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