Individual
DANIEL HENRY-WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
1901 S 9TH ST # 111F, PHILADELPHIA, PA 19148-2366
(201) 787-9754
Mailing address
1901 S 9TH ST # 111F, PHILADELPHIA, PA 19148-2366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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