Individual
JIA WAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
800 BEMIDJI AVE N STE 200, BEMIDJI, MN 56601-3056
(218) 308-2423
Mailing address
800 BEMIDJI AVE N STE 200, BEMIDJI, MN 56601-3056
(218) 308-2423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3913
MN
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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