Individual
KATHERINE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LSW
Contact information
Practice address
150 MERCURY VILLAGE DR, DURANGO, CO 81301-8955
(970) 335-2342
(970) 335-2438
Mailing address
PO BOX 1328, DURANGO, CO 81302-1328
(970) 335-2342
(970) 335-2438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002699
CO
Other
Enumeration date
03/26/2025
Last updated
02/12/2026
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