Individual
MR. CRAIG E WAGNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
404 TUDOR RD, COLLEGEVILLE, PA 19426-1747
(610) 564-7235
Mailing address
404 TUDOR RD, COLLEGEVILLE, PA 19426-1747
(610) 564-7235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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