Search › Minnesota › 101YP2500X
Jonathan Wagner, LPCC
NPI 1063006724 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2270 Ford Pkwy Ste 106
Saint Paul, MN 55116 - Phone
- (612) 915-0049
- Organisation at this address
- Fairview Clinics
Fairview Pharmacy Services Llc
Northland Foot And Ankle Specialists, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 320 Annapolis St E, West St Paul, MN
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota