Search › Tennessee › 101YM0800X
Benjamin Wagner, LPC-MHSP
NPI 1255163283 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4012 Fort Henry Dr
Kingsport, TN 37663 - Phone
- (423) 430-9687
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP2500X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-19
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 Tennessee