Marysa C Wagner is a Mental Health in Norfolk, Nebraska. Marysa C Wagner practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Marysa C Wagner is 1497828156. The last update date is 2016-03-15.
Marysa C Wagner's current location address is 601 S 13th St, Norfolk, Nebraska. You can contact this provider via phone number 4023715632 and fax number 4023715632. The mailing address for Marysa C Wagner is 601 S 13th St, Norfolk, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marysa C Wagner |
|---|---|
| Address | 601 S 13th St, Norfolk, Nebraska |
| Phone Number | 4023715632 |
| Fax Number | 4023715632 |
| Sole Proprietor | Y |
| Credentials | MSE |
NPI Number Detail
| NPI Number | 1497828156 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2016-03-15 |
Provider Mailing Address Detail
| Address | 601 S 13th St |
|---|---|
| City | Norfolk |
| State | Nebraska (NE) |
| Post Code | 687014968 |
| Phone Number | 4023715632 |
| Fax Number | 4023715632 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 2125 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47083406326 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marysa C Wagner by the Centers for Medicare & Medicaid Services?
The Marysa C Wagner has been issued the NPI (National Provider Identifier) 1497828156, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marysa C Wagner?
The Marysa C Wagner is situated at 601 S 13Th St, in the city of Norfolk, state of NE, with the zip code 687014968.
What is the Marysa C Wagner's specialty and taxonomy code?
The Marysa C Wagner's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497828156 to Marysa C Wagner?
The Centers for Medicare & Medicaid Services assigned the 1497828156 to Marysa C Wagner on 2006-11-17.
When was the information related to Marysa C Wagner most recently updated or refreshed?
The details pertaining to the Marysa C Wagner, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-03-15.
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