Individual
JULIE DIANNE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 DODGE ST, OMAHA, NE 68132-3251
(402) 553-6000
Mailing address
4545 DODGE ST, OMAHA, NE 68132-3251
(402) 553-6000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14871
NE
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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