KEITH WAGONER, COUNSELOR

Case Manager/Care Coordinator

Active Individual
NPI: 1114268588

Practice Address

2150 STOCKTON BLVD
Sacramento, CA 95817

Phone: (916) 875-1000

Specialties

Specialty Code Primary License
Counselor 101Y00000X No A022760416 (CA)
Case Manager/Care Coordinator 171M00000X Yes -
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -

Frequently Asked Questions

NPI 1114268588 is the National Provider Identifier for KEITH WAGONER, COUNSELOR, a Case Manager/Care Coordinator provider located in Sacramento, CA. This NPI was enumerated on March 11, 2013.
KEITH WAGONER, COUNSELOR practices at 2150 STOCKTON BLVD, Sacramento, CA 95817.

Quick Facts

NPI
1114268588
Type
Individual
Enumerated
Mar 11, 2013
Last Updated
Aug 27, 2024

Nearby Providers