Individual
MR. JAMES A WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCIII-RCS
Contact information
Practice address
524 MAIN STREET, SUITE 302, RACINE, WI 53403-1032
(262) 632-1780
(262) 632-0895
Mailing address
524 MAIN STREET, SUITE 302, RACINE, WI 53403-1032
(262) 632-1780
(262) 632-0895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10328
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39172800
—
WI
Enumeration date
04/23/2008
Last updated
04/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us