Organization
NEW DIRECTIONS EAP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE WAGNER PH.D. (PRESIDENT)
(419) 529-9941
Entity
Organization
Contact information
Practice address
1575 MARION AVE, MANSFIELD, OH 44906-3409
(419) 529-9941
(419) 529-0496
Mailing address
1575 MARION AVE, MANSFIELD, OH 44906-3409
(419) 529-9941
(419) 529-0496
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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