Wagner, Jeffrie L

Wagner, Jeffrie L is an sole proprietor health care provider with primary practice located at 46-050 Konane Pl , Kaneohe HI 96744-6121. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wagner, Jeffrie L can be contacted via phone (808) 247-7962.

Contact Information

Primary practice address
46-050 Konane Pl Kaneohe HI 96744-6121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 127 Hawaii

Profile Details

NPI number 1265648752
LBN Legal business name Wagner, Jeffrie L
Credentials MFT, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
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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