Individual
MR. JAMES ALLEN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
11301 WILSHIRE BL., LOS ANGELES, CA 90073
(310) 478-3711
(310) 268-4781
Mailing address
7708 OKANAGAN CT, BAKERSFIELD, CA 93309-5386
(661) 832-5991
(661) 832-5991
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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