Wagner, Jennifer

Wagner, Jennifer is an individual health care provider with primary practice located at 232 2Nd Ave S Ste 201 , Kent WA 98032-5862. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wagner, Jennifer can be contacted via phone (253) 859-0300.

Contact Information

Primary practice address
232 2Nd Ave S Ste 201 Kent WA 98032-5862
Phone: (253) 859-0300
Fax: (253) 859-0745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 60662255 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X CO60662255 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH 60242120 Washington

Profile Details

NPI number 1528243375
LBN Legal business name Wagner, Jennifer
Credentials LMHC, SUDPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2007
Last updated Mar 16th, 2023 - about 3 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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