| NPI | 1760545917 |
|---|---|
| Former Name | PAUL N. WAGLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT 1163-LAC) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |