Wagner, Gail Ann
Wagner, Gail Ann is an individual health care provider with primary practice located at 143 E Merritt St , Prescott AZ 86301-2028. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wagner, Gail Ann can be contacted via phone (928) 445-5027.Contact Information
Primary practice address
143 E Merritt St
Prescott AZ 86301-2028
Phone: (928) 445-5027
Fax: (928) 445-7071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC0404 | Arizona |
Profile Details
| NPI number | 1003838582 |
|---|---|
| LBN Legal business name | Wagner, Gail Ann |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003838582 | NPPES |
| Arizona | Other | 11586734 | CAQH |
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