NPI 1265648752

Jeffrie L Wagner, MFTCSAC

Practitioner Marriage & Family Therapist Kaneohe, HI

Practice location

Address: 46-050 Konane Pl, Kaneohe, HI 96744-6121
Phone: (808) 247-7962
Mailing address: PO Box 628, Kaneohe, HI 96744-0628

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 127 (HI)

Other Marriage & Family Therapist providers in Hawaii →

Registry record

NPI: 1265648752
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2007
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.