Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT BRUCE WAGNER, L.P.C.
Active Sole ProprietorMR. ROBERT BRUCE WAGNER, L.P.C. is a Professional Counselor healthcare provider located in NILES, Michigan. NPI 1477608107 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · NILES, MI
Registration Details
- NPI Number
- 1477608107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2007 (19.53150252383 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6401000453 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 N 2ND STSUITE 305NILES, MI, 491202258Browse MI providers · Browse ZIP 49120
- Phone
- 2694498951
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in NILES, MI
| Name | Credential | NPI |
|---|---|---|
| DAVID MICHAEL KOTOSKE | M.H.T., H.T. | 1912177338 |
| MRS. JOSIE MARIA DEJONG | MA LPC SCL NCC | 1568740256 |
| MISS CAROLYN JOYCE MACOMBER | LPC | 1063822666 |
| STEVEN JOEL BERMAN | MA, LPC, NCC, CAADC | 1962926899 |
| KRISTINE ELIZABETH GERVASI | LLPC | 1538790910 |
| DENISE AUDREY AYO | — | 1750058590 |
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.