Wagner, Debra

Wagner, Debra is an sole proprietor health care provider with primary practice located at 23690 N Highway 1 , Fort Bragg CA 95437-8422. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wagner, Debra can be contacted via phone (707) 734-0153.

Contact Information

Primary practice address
23690 N Highway 1 Fort Bragg CA 95437-8422
Phone: (707) 734-0153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 45870 California

Profile Details

NPI number 1922277243
LBN Legal business name Wagner, Debra
Credentials M.A., M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2008
Last updated May 20th, 2021 - about 4 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.

Request for update

Popular Providers