Individual
MR. JOSHUA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4040 S. INDINGO DR, HARVEY, LA 70056-7876
(504) 339-3023
Mailing address
4040 S. INDINGO DR, HARVEY, LA 70058
(504) 339-3023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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