JAMES WILLIAM WAGNER

BERKELEY, CA
NPI1184753329
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  43030)
Enumeration Date2007-03-05
Last Update Date2009-01-25
Business Address
-- JAMES WILLIAM WAGNER LMFT
2955 SHATTUCK AVE
BERKELEY, CA 94705-1808
Phone number: 510-207-2613
Mailing Address
-- JAMES WILLIAM WAGNER LMFT
2955 SHATTUCK AVE
BERKELEY, CA 94705-1808
Phone number: 510-207-2613
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