Individual
KATHLEEN J. WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
3021 6TH AVENUE NORTH, SUITE 106, BILLINGS, MT 59101-2223
(406) 245-1338
Mailing address
1629 AVENUE D STE 2A, BILLINGS, MT 59102-3015
(406) 245-1338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
785
MT
106H00000X
Marriage & Family Therapist
42
MT
Other
Enumeration date
07/30/2007
Last updated
06/18/2020
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