# KATHLEEN J WAGNER LCSW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013257302
- **Authorized official:** KATHLEEN WAGNER LCSW (DIRECTOR)
- **Authorized official phone:** (406) 245-1338

## Contact information

- **Practice address:** 820 DIVISION ST, BILLINGS, MT 59101-2049
- **Practice address phone:** (406) 245-1338
- **Practice address fax:** (406) 294-5226
- **Mailing address:** PO BOX 2252, BILLINGS, MT 59103-2252
- **Mailing address phone:** (406) 245-1338
- **Mailing address fax:** (406) 294-5226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 785 | MT | Yes |

## Other

- **Enumeration date:** 02/22/2013
- **Last updated:** 03/18/2013