Wagner, Nathan

Wagner, Nathan is an individual health care provider with primary practice located at 9720 Capital Ct Suite 303, Manassas VA 20110-2044. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wagner, Nathan can be contacted via phone (571) 921-4812.

Contact Information

Primary practice address
9720 Capital Ct Suite 303 Manassas VA 20110-2044
Phone: (571) 921-4812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 070102980 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006557 Virginia

Profile Details

NPI number 1497100200
LBN Legal business name Wagner, Nathan
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2016
Last updated Apr 29th, 2016 - about 9 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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