Wagner, Joan M

Wagner, Joan M is an sole proprietor health care provider with primary practice located at 801 E 4Th St Ste 9 , Gillette WY 82716-4061. 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 / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wagner, Joan M can be contacted via phone (307) 257-2290.

Contact Information

Primary practice address
801 E 4Th St Ste 9 Gillette WY 82716-4061
Phone: (307) 257-2290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X 118122 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X PCSW-1099 Wyoming

Profile Details

NPI number 1912551201
LBN Legal business name Wagner, Joan M
Credentials PCSW, CAP, CAC, LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2019
Last updated Feb 9th, 2025 - about last year

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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