JASON ROBERT WAGNER

SANDY, UT
NPI1053700765
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  7717626-6009)
Enumeration Date2015-01-19
Last Update Date2024-07-24
Business Address
JASON ROBERT WAGNER CMHC
9844 S 1300 E STE 250
SANDY, UT 84094-4691
Phone number: 801-243-2928
Mailing Address
JASON ROBERT WAGNER CMHC
9844 S 1300 E STE 250
SANDY, UT 84094-4691
Phone number: 801-243-2928
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