Individual
MS. SUSAN FOLMAR WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP, MS
Contact information
Practice address
1040 ALLEGHENY AVE SW, OCEAN CREST SCHOOL, BANDON, OR 97411-9034
(541) 347-4940
Mailing address
1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 97459-3482
(541) 347-4940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
MFC 15083
CA
Other
Enumeration date
06/11/2007
Last updated
09/11/2025
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