MR. ROBERT WAGNER, LPC

Counselor - Mental Health

Active Individual
NPI: 1457309387

Practice Address

105 GREENCASTLE RD
SUITE B
Tyrone, GA 30290

Phone: (770) 486-1011

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 003153 (GA)
Counselor - Professional 101YP2500X No -

Frequently Asked Questions

NPI 1457309387 is the National Provider Identifier for MR. ROBERT WAGNER, LPC, a Counselor - Mental Health provider located in Tyrone, GA. This NPI was enumerated on May 4, 2006.
MR. ROBERT WAGNER, LPC practices at 105 GREENCASTLE RD, SUITE B, Tyrone, GA 30290.

Quick Facts

NPI
1457309387
Type
Individual
Enumerated
May 4, 2006
Last Updated
Dec 26, 2007

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