Whalio Doctors

NPI 1003838582

Gail Ann Wagner, MS

Practitioner Mental Health Counselor Prescott, AZ

Practice location

Address
143 E Merritt St, Prescott, AZ 86301-2028
Phone
(928) 445-5027
Fax
(928) 445-7071

Registered specialties

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LPC0404 (AZ)

Registry record

NPI
1003838582
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jul 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.