Wagner, Jason

Wagner, Jason is an individual health care provider with primary practice located at 2405 28Th St , Anacortes WA 98221-2484. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Wagner, Jason can be contacted via phone (360) 333-5684.

Contact Information

Primary practice address
2405 28Th St Anacortes WA 98221-2484
Phone: (360) 333-5684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1215329420
LBN Legal business name Wagner, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2015
Last updated Feb 25th, 2015 - about 10 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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