Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA FAE WAGNER
Active Sole ProprietorLISA FAE WAGNER is a Mental Health Counselor healthcare provider located in AGOURA HILLS, California. NPI 1659963502 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · AGOURA HILLS, CA
Registration Details
- NPI Number
- 1659963502
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2021 (5.4876367066932 yrs)
- Last Updated
- Feb 10, 2021
- License
-
40867 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
29532 BERTRAND DRAGOURA HILLS, CA, 913014100Browse CA providers · Browse ZIP 91301
- Phone
- 3104801719
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in AGOURA HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| WESLEY COULTAS | — | 1497873780 |
| MARY ANN NONE LOVEGREN | MFT | 1659559102 |
| MRS. GIL KATZ-GOLDSTEIN | MA, LMFT | 1740442664 |
| MR. STEVEN G FIRESTONE | M.A. | 1023330495 |
| SAMANTHA BOOKMAN | MFT | 1710312244 |
| DANIELLE LYNNE CICCONE | MS, LPCC | 1275964678 |
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.