MR. GERALD WAGNER JR., LADC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1962759084
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 000326 (CT) |
Frequently Asked Questions
NPI 1962759084 is the National Provider Identifier for MR. GERALD WAGNER JR., LADC, a Counselor - Addiction (Substance Use Disorder) provider located in New London, CT. This NPI was enumerated on August 8, 2012.
MR. GERALD WAGNER JR., LADC practices at 21 MONTAUK AVE, New London, CT 06320.
Quick Facts
- NPI
- 1962759084
- Type
- Individual
- Enumerated
- Aug 8, 2012
- Last Updated
- Dec 21, 2016
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