JOSEPH MICHAEL WAGNER LPC-S
NPI 1043478290
Counselor - Professional in Metairie, LA
Active since May 23, 2008
About Joseph Michael Wagner Lpc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH MICHAEL WAGNER LPC-S (NPI 1043478290) is an individual professional provider in Metairie, Louisiana, licensed in Louisiana (4420) and active in the NPI registry since May 2008.
NPPES Registry Identity
NPI1043478290
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOSEPH MICHAEL WAGNERCredential: LPC-S
Location Address3350 RIDGELAKE DR # 87Metairie, LA 70002-3836
Mailing Address333 Highway Dr # BJefferson, LA 70121-3414 · (504) 237-5830
Phone(504) 293-0021
Sole ProprietorYes
Enumeration DateMay 23, 2008
Last NPPES UpdateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1043478290 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 4420
3350 RIDGELAKE DR # 87, Metairie, LA 70002
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043478290, enumerated as an "individual" on May 23, 2008.
The provider is located at 3350 RIDGELAKE DR # 87 METAIRIE, LA 70002 and the phone number is (504) 293-0021.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and. Please consult your insurance carrier or call the provider to verify.