Individual
GRETCHEN LEE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
308 N LOCUST ST STE 302, GRAND ISLAND, NE 68801-5984
(402) 469-0183
(888) 519-6127
Mailing address
308 N LOCUST ST STE 302, GRAND ISLAND, NE 68801-5984
(402) 469-0183
(888) 519-6127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10417
NE
Other
Enumeration date
12/02/2014
Last updated
08/24/2023
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