Individual
MEGAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 E 25TH ST, MINNEAPOLIS, MN 55406-1227
(612) 200-8177
Mailing address
809 THOREAU DR, BURNSVILLE, MN 55337-3646
(612) 812-6069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304063
MN
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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