Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY ALLEN WAGENAAR, MS LADC
ActiveGARY ALLEN WAGENAAR, MS LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in AUSTIN, Minnesota. NPI 1851683049 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · AUSTIN, MN
Registration Details
- NPI Number
- 1851683049
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2011 (15.238727521461 yrs)
- Last Updated
- May 6, 2011
- License
-
300609 (MN)
Practice Information
- Address
-
1000 1ST DR NWAUSTIN, MN, 559122941Browse MN providers · Browse ZIP 55912
- Phone
- 5074341928
- Fax
- 5074341927
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in AUSTIN, MN
| Name | Credential | NPI |
|---|---|---|
| JOSE R DUENES | — | 1811146038 |
| JAMES E KRULISH | — | 1629227848 |
| JOHN EDWARD WITTKOPP | BA LADC | 1306138599 |
| MARK WACHLIN | LADC | 1891221826 |
| BRIANNA KATHLEEN KUSTER | LADC | 1366978348 |
| OLIVIA JOHNSON | ADC-T | 1326789413 |
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.