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1255731402
JEFFREY WAGNER
SAN DIEGO, CA
NPI
1255731402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 11955)
Enumeration Date
2014-08-25
Last Update Date
2022-11-22
Business Address
JEFFREY WAGNER LPCC
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110-4430
Phone number: 619-320-2404
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Mailing Address
JEFFREY WAGNER LPCC
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110-4430
Phone number: 619-320-2404
Copy
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