CARLIE WAGNER
NPI 1124572623
Counselor - Professional in Aurora, CO
Active since August 12, 2016
About Carlie Wagner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLIE WAGNER (NPI 1124572623) is an individual professional provider in Aurora, Colorado, licensed in Colorado (12108) and active in the NPI registry since August 2016.
NPPES Registry Identity
NPI1124572623
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARLIE WAGNER
Location Address1330 S POTOMAC ST STE 104AAurora, CO 80012-4527
Mailing Address1330 S Potomac St Ste 104aAurora, CO 80012-4527
Phone(303) 282-2654
Sole ProprietorNo
Enumeration DateAugust 12, 2016
✔ NPI 1124572623 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 CO · 12108
1330 S POTOMAC ST STE 104A, Aurora, CO 80012
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124572623, enumerated as an "individual" on August 12, 2016.
The provider is located at 1330 S POTOMAC ST STE 104A AURORA, CO 80012 and the phone number is (303) 282-2654.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
