DOUG WAGNER

BURIEN, WA
NPI1306712302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2025-10-15
Last Update Date2025-10-15
Business Address
DOUG WAGNER
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-886-6843
Mailing Address
DOUG WAGNER
746 S 204TH ST
DES MOINES, WA 98198-3447
Phone number: 206-601-6271