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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RANDALL L WAGNER, LPC

Active

MR. RANDALL L WAGNER, LPC is a Professional Counselor healthcare provider located in MADISON, Wisconsin. NPI 1063558211 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · MADISON, WI

Registration Details

NPI Number
1063558211
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2007 (19.522478939703 yrs)
Last Updated
Dec 15, 2020
License
3203-125 (WI)

Practice Information

Address
1821 S STOUGHTON RD
MADISON, WI, 537162257
Browse WI providers · Browse ZIP 53716
Phone
6082606000
Fax
6082606376
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in MADISON, WI

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MARY L GUTKNECHT PC 1891761813
MS. KATHRYN ANN FOLK M.A. 1619945425
TED D IZYDOR LPC 1275501140
PENNY L RAIMER LPC 1629046511
JANE K BONLENDER LPC 1336105337
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.