Individual
MR. BRET PAUL WANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
970 RESERVE DR, SUITE 205, ROSEVILLE, CA 95678-1376
(916) 780-1070
(916) 780-1199
Mailing address
4327 GOLDEN CENTER DR, PLACERVILLE, CA 95667-6287
(530) 621-7322
(530) 621-7707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20785
CA
Other
Enumeration date
12/28/2006
Last updated
05/13/2011
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