Individual
JEFFREY MARTIN WAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 N MAIN ST STE 204, HEBER CITY, UT 84032-1622
(435) 709-3060
Mailing address
13642 N FREESTYLE LN, KAMAS, UT 84036-1316
(323) 422-9600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14218138-6009
UT
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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