Doug B Wagstaff in American Fork - Counselor

Doug B Wagstaff - NPI 1457414930

Doug B Wagstaff is a Counselor in American Fork, Utah. Doug B Wagstaff practices all healthcare services and medical treatments related to Counselor. The NPI Number for Doug B Wagstaff is 1457414930. The last update date is 2007-07-08.

Doug B Wagstaff's current location address is 475 W 50 N, American Fork, Utah. You can contact this provider via phone number 8017563664 and fax number 8017563698. The mailing address for Doug B Wagstaff is 475 W 50 N, American Fork, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Doug B Wagstaff
Address 475 W 50 N, American Fork, Utah
Phone Number 8017563664
Fax Number 8017563698
Sole Proprietor N
Credentials LPC

NPI Number Detail

NPI Number 1457414930
Provider Enumeration Date 2006-12-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 475 W 50 N
City American Fork
State Utah (UT)
Post Code 84003
Phone Number 8017563664
Fax Number 8017563698

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Licence No 3217496004
Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe

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FAQs about Doug B Wagstaff

What is the unique identifier code issued to Doug B Wagstaff by the Centers for Medicare & Medicaid Services (CMS)?

The Doug B Wagstaff has been assigned the NPI (National Provider Identifier) 1457414930. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Doug B Wagstaff's facilities are situated?

The facilities of Doug B Wagstaff are physically located at the following address: 475 W 50 N, American Fork, UT, 84003.

What is Doug B Wagstaff's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Doug B Wagstaff is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1457414930 to Doug B Wagstaff?

The Doug B Wagstaff received its 1457414930 assignment from the Centers for Medicare & Medicaid Services on 2006-12-18.

As of what date were the details related to Doug B Wagstaff most recently updated or revised?

The information pertaining to Doug B Wagstaff, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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