Individual
AMBER NICOLE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1546 1ST ST, NAPA, CA 94559-2841
(707) 224-8266
Mailing address
1920 LYDIA LN, SAINT HELENA, CA 94574-2254
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
103TC1900X
CA
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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