Individual
JAMES WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2324 UNIVERSITY AVE W STE 100, SAINT PAUL, MN 55114-8759
(651) 641-1009
(651) 789-5677
Mailing address
224 7TH ST SE, MINNEAPOLIS, MN 55414-1112
(612) 824-7748
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3318
MN
Other
Enumeration date
10/11/2017
Last updated
08/29/2020
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