JAMES L WAGNER

SOUTH SIOUX CITY, NE
NPI1841464799
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  2311)
Enumeration Date2008-04-22
Last Update Date2010-01-12
Business Address
-- JAMES L WAGNER LMHP
402 W 19TH ST
SOUTH SIOUX CITY, NE 68776-2639
Phone number: 402-494-5265
Mailing Address
-- JAMES L WAGNER LMHP
PO BOX 268
DAKOTA CITY, NE 68731-0268
Phone number: