Wagner, Kelly Jean

Wagner, Kelly Jean is an individual health care provider with primary practice located at 4301 Sergeant Rd Ste 203, Sioux City IA 51106-4710. 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, Kelly Jean can be contacted via phone (712) 276-9000.

Contact Information

Primary practice address
4301 Sergeant Rd Ste 203 Sioux City IA 51106-4710
Phone: (712) 276-9000
Fax: (712) 276-4917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00850 Iowa

Profile Details

NPI number 1750513727
LBN Legal business name Wagner, Kelly Jean
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2009
Last updated Aug 10th, 2009 - about 15 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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