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JONATHAN WAGNER, LPCC

LPCC

Professional Counselor

NPI: 1063006724IndividualAccepts Medicare

Specialties, Licenses & Credentials

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

02291(MN)
Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

4525(MN)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2014

Contact & Hours

Via practice · 2 locations total

Address
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116

Quick Facts

NPI
1063006724
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
12

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