# WILLIAM CHRISTOPHER WAGNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790961787
- **Gender:** Man
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 34004522A | IN | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 87000045A | IN | Yes |
| 101YM0800X | Mental Health Counselor | 34004522A | IN | — |
| 1041C0700X | Clinical Social Worker | 34004522A | IN | — |
| 106H00000X | Marriage & Family Therapist | 34004522A | IN | — |

## Other

- **Enumeration date:** 01/21/2008
- **Last updated:** 10/11/2012