BENTON WAGNER

Counselor - Mental Health

Active Individual
NPI: 1346668852

Practice Address

418 N RIVER ST
Hailey, ID 83333

Phone: (612) 247-9768

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes LCPC-6760 (ID)

Frequently Asked Questions

NPI 1346668852 is the National Provider Identifier for BENTON WAGNER, a Counselor - Mental Health provider located in Hailey, ID. This NPI was enumerated on April 1, 2014.
BENTON WAGNER practices at 418 N RIVER ST, Hailey, ID 83333.

Quick Facts

NPI
1346668852
Type
Individual
Enumerated
Apr 1, 2014
Last Updated
Mar 5, 2024

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