Angel Wagner
Counselor · Centralia, IL
NPI number
1215447032
Practice location
904 E. Martin Luther King DriveCentralia, IL 62801-3058
- Phone
- (618) 533-1391
- Fax
- (618) 533-0012
NPI record
- NPI
- 1215447032
- Entity type
- Individual (Type 1)
- Enumeration date
- October 6, 2017
- Last updated
- October 6, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
About Angel Wagner
Angel Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 904 E. Martin Luther King Drive, Centralia, IL 62801-3058. The NPI number 1215447032 was assigned on October 6, 2017 and the record was last updated on October 6, 2017.
Frequently asked questions
What is the NPI number of Angel Wagner?
The NPI number is 1215447032.
What is the phone number of Angel Wagner?
The phone number listed for the practice location is (618) 533-1391.
Where is Angel Wagner located?
904 E. Martin Luther King Drive, Centralia, IL 62801-3058.
What is the taxonomy code for Angel Wagner?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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