Wagner, Abigail Rae
Wagner, Abigail Rae is an individual health care provider with primary practice located at 207 Jefferson Blvd , Big Lake MN 55309-4667. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wagner, Abigail Rae can be contacted via phone (763) 367-6080.Contact Information
Primary practice address
207 Jefferson Blvd
Big Lake MN 55309-4667
Phone: (763) 367-6080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 305134 | Minnesota |
Profile Details
| NPI number | 1033603527 |
|---|---|
| LBN Legal business name | Wagner, Abigail Rae |
| Credentials | LPC, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2018 |
| Last updated | Apr 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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