Individual
MR. LELAND DEAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2525 SOUTH DOWNING ST, DENVER, CO 80210
(303) 778-5774
(303) 778-2436
Mailing address
2465 SOUTH DOWNING ST, SUITE 110, DENVER, CO 80210
(303) 778-5774
(303) 778-2436
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3712
CO
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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