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Individual
WILLIAM BENJAMIN WAGNER
Active
Individual
WILLIAM BENJAMIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-II-CA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
AII052430218
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
05/24/2010
Last updated
08/20/2025
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