GLAVIS WAGNER
Prevention Professional
Active
Individual
NPI: 1720587553
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 17-CRM-217 (OR) |
| Peer Specialist | 175T00000X | No | THW000002415 (OR) |
| Prevention Professional | 405300000X | Yes | 17-CRM-217 (OR) |
Frequently Asked Questions
NPI 1720587553 is the National Provider Identifier for GLAVIS WAGNER, a Prevention Professional provider located in Pendleton, OR. This NPI was enumerated on February 7, 2018.
GLAVIS WAGNER practices at 46314 TIMINE WAY, Pendleton, OR 97801.
Quick Facts
- NPI
- 1720587553
- Type
- Individual
- Enumerated
- Feb 7, 2018
- Last Updated
- Jul 23, 2020
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