Individual
ANDREA LOUISE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1052 OAK FOREST DR STE 190, ONALASKA, WI 54650-3705
(507) 884-1497
Mailing address
1538 3RD AVE SW, ROCHESTER, MN 55902-3823
(507) 884-1497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02206
MN
Other
Enumeration date
09/29/2020
Last updated
04/07/2026
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