NPI 1083446850

Kyle Wagner

Practitioner Mental Health Counselor Lyons, NY

Practice location

Address: 1519 Nye Rd, Lyons, NY 14489-9133
Phone: (315) 946-5722

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Registry record

NPI: 1083446850
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2024
Record last updated: 19 Aug 2024

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.