Kendall Todd Wagner

Home > Kendall Todd Wagner

NPI Number Detailed Information

Provider Information:

Name:	Kendall Todd Wagner
Gender:	M
Provider License Number If Given:	CP00000091

NPI Information:

NPI:	1962552844
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	1/11/2007
Last Update Date:	4/17/2015

Provider Business Mailing Address:

Address:	1635 CAMBRIDGE DR Walla Walla, WA 99362
Phone Number:	5095291496
Fax Number:

Provider Business Practice Location Address:

Address:	29 JUBILEE CIR Prescott, WA 99348
Phone Number:	5097492103
Fax Number:	5097492076

Provider Taxonomy:

Primary:	101YA0400X
Secondary (if any):	1041C0700X
State:	WA

Top Doctors in WA

About Kendall Todd Wagner

Kendall Todd Wagner ( KENDALL TODD WAGNER ) is Definition Counselor Physician in Prescott, WA. The NPI Number for Kendall Todd Wagner is 1962552844.

The current location address for Kendall Todd Wagner is 29 JUBILEE CIR Prescott, WA 99348 and the contact number is 5095291496 and fax number is . The mailing address for Kendall Todd Wagner is 1635 CAMBRIDGE DR Walla Walla, WA 99362- 5097492103 (mailing address contact number - 5095291496).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Kendall Todd Wagner ?

Answer: The NPI Number for Kendall Todd Wagner is 1962552844

Where is Kendall Todd Wagner located?

Answer: Kendall Todd Wagner is located at 29 JUBILEE CIR Prescott, WA 99348.

What is the specialty for Kendall Todd Wagner ?

Answer: The Specialty of Kendall Todd Wagner is Definition Counselor Physician.

Are there any online reviews for Kendall Todd Wagner ?

Answer: Not yet!

Are there any other health care providers in Prescott, WA?

Answer: Yes, there are given below...

More Providers in Prescott , WA

Prescott School District
Local Education Agency (LEA)
NPI Number: 1316965437
Address: 207 SOUTH A STREET Prescott, WA 99348 , Phone: 5098492217

Kendall Todd Wagner
Addiction (Substance Use Disorder) Counselor
NPI Number: 1962552844
Address: 29 JUBILEE CIR Prescott, WA 99348 , Phone: 5097492103

Jubilee Leadership Academy
Community/Behavioral Health Agency
NPI Number: 1477940419
Address: 29 JUBILEE CIR Prescott, WA 99348 , Phone: 5097492103

Sheila Hair
Mental Health Counselor
NPI Number: 1609263789
Address: 29 JUBILEE CIR Prescott, WA 99348 , Phone: 5097492103

Leann Griffin
Addiction (Substance Use Disorder) Counselor
NPI Number: 1548648249
Address: 29 JUBILEE CIR Prescott, WA 99348 , Phone: 5097492103