MR. Brian R. Wagner, M.A. C.A.S.A.C. is an addiction (substance use disorder) counselor in Valley Stream, NY. MR. Brian R. Wagner, M.A. C.A.S.A.C. NPI is 1831204270. 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:
73 S CENTRAL AVE
VALLEY STREAM, NY
ZIP 11580-402
Phone: (516) 872-9698
Fax: (516) 872-8758
The enumeration date for this NPI number is 8/19/2006 and was last updated on 7/8/2007.