Individual
MATTHEW F. WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1951 PINE HALL RD STE 225, STATE COLLEGE, PA 16801-5107
(814) 237-0001
(814) 237-0116
Mailing address
1951 PINE HALL RD STE 225, STATE COLLEGE, PA 16801-5107
(814) 237-0001
(814) 237-0116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC019200
PA
Other
Enumeration date
06/17/2016
Last updated
08/29/2025
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