Individual
KRISTIN NICOLE WAGNER
Active
Individual
KRISTIN NICOLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, CMSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5440
NE
1041S0200X
School Social Worker
1894
NE
1041S0200X
School Social Worker
Primary
5440
NE
Other
Enumeration date
09/12/2018
Last updated
08/27/2026
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