Individual
BRITTANY MICHELLE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16552 SUNHILL DR, VICTORVILLE, CA 92395-4518
(760) 780-4400
Mailing address
20301 PIMA RD, APPLE VALLEY, CA 92308-5124
(760) 267-6767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APCC16453
CA
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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