Individual
CHASE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1139 17TH ST, PORTSMOUTH, OH 45662-2910
(740) 353-4673
Mailing address
800 GALLIA ST STE 600, PORTSMOUTH, OH 45662-4097
(740) 353-4673
(740) 353-5800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/19/2023
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