Chris L. Wagner in Thompson Falls - Clinical

Chris L. Wagner - NPI 1962599134

Chris L. Wagner is a Clinical in Thompson Falls, Montana. Chris L. Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Chris L. Wagner is 1962599134. The last update date is 2007-07-08.

Chris L. Wagner's current location address is 704 Maiden Lane, Thompson Falls, Montana. You can contact this provider via phone number 4065329190 and fax number 4068274491. The mailing address for Chris L. Wagner is 704 Maiden Lane, Thompson Falls, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Name Chris L. Wagner
Address 704 Maiden Lane, Thompson Falls, Montana
Phone Number 4065329190
Fax Number 4068274491
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1962599134
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 704 Maiden Lane
City Thompson Falls
State Montana (MT)
Post Code 59873
Phone Number 4065329190
Fax Number 4068274491

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 648
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Chris L. Wagner

What is the Chris L. Wagner's 1962599134?

The Chris L. Wagner's NPI (National Provider Identifier) Number is 1962599134. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Chris L. Wagner's facilities are geographically located?

The facilities of Chris L. Wagner are physically situated at the following location: 704 Maiden Lane, Thompson Falls, MT, 59873.

What is Chris L. Wagner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Chris L. Wagner is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Chris L. Wagner receive the assignment of its 1962599134 from the Centers for Medicare & Medicaid Services?

The Chris L. Wagner was issued its 1962599134 by the Centers for Medicare & Medicaid Services on 2006-10-06.

When was the information regarding Chris L. Wagner most recently updated?

The details pertaining to the Chris L. Wagner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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