SearchIdahoMental Health Counselor

Benton Wagner

NPI 1346668852 · on the registry since 2014 · sole proprietor

Practice

Address
418 N River St
Hailey, ID 83333
Phone
(612) 247-9768
Clinicians at this address
2

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-05

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 Idaho