James William Wagner in Berkeley - Marriage & Family Therapist

James William Wagner - NPI 1184753329

James William Wagner is a Marriage & Family Therapist in Berkeley, California. James William Wagner practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for James William Wagner is 1184753329. The last update date is 2009-01-25.

James William Wagner's current location address is 2955 Shattuck Ave, Berkeley, California. You can contact this provider via phone number 5102072613. The mailing address for James William Wagner is 2955 Shattuck Ave, Berkeley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name James William Wagner
Address 2955 Shattuck Ave, Berkeley, California
Phone Number 5102072613
Fax Number
Sole Proprietor Y
Credentials LMFT

NPI Number Detail

NPI Number 1184753329
Provider Enumeration Date 2007-03-05
Last Updated Date 2009-01-25

Provider Mailing Address Detail

Address 2955 Shattuck Ave
City Berkeley
State California (CA)
Post Code 947051808
Phone Number 5102072613
Fax Number

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No 43030
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

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FAQs about James William Wagner

What is the James William Wagner's 1184753329?

The James William Wagner's NPI (National Provider Identifier) Number is 1184753329. 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 James William Wagner's facilities are geographically located?

The facilities of James William Wagner are physically situated at the following location: 2955 Shattuck Ave, Berkeley, CA, 947051808.

What is James William Wagner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for James William Wagner is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1184753329 to James William Wagner?

The Centers for Medicare & Medicaid Services originally issued the 1184753329 to James William Wagner on 2007-03-05.

As of what date was the information regarding James William Wagner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to James William Wagner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-25.

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