Individual
MS. JANE C WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1019 21ST ST, ANACORTES, WA 98221-2515
(360) 420-4100
Mailing address
15127 GIBRALTER RD, ANACORTES, WA 98221-8616
(360) 420-4100
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00000926
WA
Other
Enumeration date
05/30/2007
Last updated
04/04/2012
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