KELL WAGNER

MEDFORD, OR
NPI1841660636
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C6938)
Enumeration Date2015-10-06
Last Update Date2024-01-18
Business Address
KELL WAGNER NCC, LPC Associate
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504-6295
Phone number: 541-840-7684
Mailing Address
KELL WAGNER NCC, LPC Associate
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504-6295
Phone number:
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