Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GERALD WAGNER JR., LADC
ActiveMR. GERALD WAGNER JR., LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in NEW LONDON, Connecticut. NPI 1962759084 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · NEW LONDON, CT
Registration Details
- NPI Number
- 1962759084
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2012 (13.999829900049 yrs)
- Last Updated
- Dec 21, 2016
- License
-
000326 (CT)
Practice Information
- Address
-
21 MONTAUK AVENEW LONDON, CT, 063204906Browse CT providers · Browse ZIP 06320
- Phone
- 8602714715
- Fax
- 8602714797
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in NEW LONDON, CT
| Name | Credential | NPI |
|---|---|---|
| JOSEPH W GREEN | LADC | 1780748897 |
| MR. THOMAS M. GREANEY | LADC, LCDP | 1881893105 |
| DR. GEORGE MCGWAINE WALKER | PHD, LPC, NCC | 1275899692 |
| MS. BARBARA A GOTAY MATTHEW | LADC | 1730421793 |
| DR. KATHLEEN ELLIS | PHD, LADC, LPC | 1679902316 |
| DONNA ELIZABETH MEDINA | LADC | 1275007353 |
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.