Brian Wagner in San Jose - Marriage & Family Therapist
Brian Wagner - NPI 1265576433
Brian Wagner is a Marriage & Family Therapist in San Jose, California. Brian Wagner practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Brian Wagner is 1265576433. The last update date is 2021-06-15.
Brian Wagner's current location address is 828 S Bascom Ave Ste 200, San Jose, California. You can contact this provider via phone number 4088855773. The mailing address for Brian Wagner is 828 S Bascom Ave Ste 200, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Wagner |
|---|---|
| Address | 828 S Bascom Ave Ste 200, San Jose, California |
| Phone Number | 4088855773 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.M.F.T. |
NPI Number Detail
| NPI Number | 1265576433 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2021-06-15 |
Provider Mailing Address Detail
| Address | 828 S Bascom Ave Ste 200 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282600 |
| Phone Number | 4088855773 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC44887 |
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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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What is the unique identifier code issued to Brian Wagner by the Centers for Medicare & Medicaid Services?
The Brian Wagner has been assigned the NPI (National Provider Identifier) 1265576433. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brian Wagner is located?
The Brian Wagner is situated at the following address: 828 S Bascom Ave Ste 200, San Jose, CA, 951282600.
What is Brian Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian Wagner's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Brian Wagner receive its 1265576433 assignment from the Centers for Medicare & Medicaid Services?
The Brian Wagner was assigned its 1265576433 by the Centers for Medicare & Medicaid Services on 2007-02-19.
When was the information related to Brian Wagner most recently updated or refreshed?
The details pertaining to the Brian Wagner, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-15.
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