GARY WAGENAAR, MS LADC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1851683049
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 300609 (MN) |
Frequently Asked Questions
NPI 1851683049 is the National Provider Identifier for GARY WAGENAAR, MS LADC, a Counselor - Addiction (Substance Use Disorder) provider located in Austin, MN. This NPI was enumerated on May 6, 2011.
GARY WAGENAAR, MS LADC practices at 1000 1ST DR NW, Austin, MN 55912.
Quick Facts
- NPI
- 1851683049
- Type
- Individual
- Enumerated
- May 6, 2011
- Last Updated
- May 6, 2011
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