SearchMichigan101YP2500X

Nathanael Wagner

NPI 1750875704 · on the registry since 2018 · sole proprietor

Practice

Address
5242 Plainfield Ave Ne Ste C
Grand Rapids, MI 49525
Phone
(616) 481-7106
Organisation at this address
Restored Mind
Insight Therapy Llc
New Story Counseling
Joshua Warren Lpc Llc
Kodde Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-21

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 Michigan