SearchIdahoMental Health Counselor

Jonathan Wagner, LPC-MHSP, NCC

NPI 1679144836 · on the registry since 2021 · sole proprietor

Practice

Address
2141 W Moose Creek Dr
Nampa, ID 83686
Phone
(615) 426-7352

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-08

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