Individual
JOSEPH MICHAEL WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
3350 RIDGELAKE DR # 87, METAIRIE, LA 70002-3836
(504) 293-0021
Mailing address
333 HIGHWAY DR # B, JEFFERSON, LA 70121-3414
(504) 237-5830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4420
LA
Other
Enumeration date
05/23/2008
Last updated
07/09/2020
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