ETHAN WILLIAMS WAGNER

CHICO, CA
NPI1316681398
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-04-25
Last Update Date2022-04-25
Business Address
Mr. ETHAN WILLIAMS WAGNER
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
Mailing Address
Mr. ETHAN WILLIAMS WAGNER
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
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