Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENTON WAGNER
Active Sole ProprietorBENTON WAGNER is a Mental Health Counselor healthcare provider located in HAILEY, Idaho. NPI 1346668852 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · HAILEY, ID
Registration Details
- NPI Number
- 1346668852
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2014 (12.186225517982 yrs)
- Last Updated
- Mar 5, 2024
- License
-
LCPC-6760 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
418 N RIVER STHAILEY, ID, 833338513Browse ID providers · Browse ZIP 83333
- Phone
- 6122479768
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in HAILEY, ID
| Name | Credential | NPI |
|---|---|---|
| ROSEMARY THAIR KELLS | LPC | 1346708716 |
| MELISSA SCOTT ELKINS | LPC | 1831759992 |
| JOAN MARIE ANDERSON | LPC | 1942856174 |
| SARAH MCAULIFFE MACQUARRIE | LPC | 1730708900 |
| MARIAH ROE KASHINO | LPC | 1467041269 |
| JOHN ALAN INMAN | LMSW | 1205565546 |
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.