Wagenseller, Joseph Paul

Wagenseller, Joseph Paul is an individual health care provider with primary practice located at 29 East Main Street , Westport CT 06880. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Wagenseller, Joseph Paul can be contacted via phone (203) 226-6725.

Contact Information

Primary practice address
29 East Main Street Westport CT 06880
Phone: (203) 226-6725
Fax: (203) 227-3710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 000189CT Connecticut
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000189CT Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 000189CT Connecticut

Profile Details

NPI number 1659444222
LBN Legal business name Wagenseller, Joseph Paul
Credentials DMIN LPC NC PSYA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659444222 NPPES
Connecticut Other 240000189CT1 ANTHEM BCBS

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