ELISABETH WAGNER

Counselor - Mental Health

Active Individual
NPI: 1760095152

Practice Address

3737 W 4100 S
West Valley City, UT 84120

Phone: (888) 949-4864

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 9443009-6004 (UT)
Social Worker 104100000X No -
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1760095152 is the National Provider Identifier for ELISABETH WAGNER, a Counselor - Mental Health provider located in West Valley City, UT. This NPI was enumerated on August 26, 2020.
ELISABETH WAGNER practices at 3737 W 4100 S, West Valley City, UT 84120.

Quick Facts

NPI
1760095152
Type
Individual
Enumerated
Aug 26, 2020
Last Updated
Feb 25, 2025

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