NATHANIEL JACOB WAGNER

TERRE HAUTE, IN
NPI1144578238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-08-21
Last Update Date2022-07-26
Business Address
DR. NATHANIEL JACOB WAGNER PHD, LMHC
8256 S CHEROKEE ST
TERRE HAUTE, IN 47802-5014
Phone number: 812-370-0370
Mailing Address
DR. NATHANIEL JACOB WAGNER PHD, LMHC
8256 S CHEROKEE ST
TERRE HAUTE, IN 47802-5014
Phone number: 812-370-0370
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