CARLIE WAGNER
NPI 1124572623
Counselor - Professional in Aurora, CO
- Individual
- Female
- Counselor
- Professional
About CARLIE WAGNER
This page provides the complete NPI Profile along with additional information for Carlie Wagner, a provider established in Aurora, Colorado with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1124572623 assigned on August 2016. The practitioner's primary taxonomy code is 101YP2500X with license number 12108 (CO). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1124572623 Verify this NPI
- Provider Name
- CARLIE WAGNER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1330 S POTOMAC ST STE 104A AURORA, CO 80012
- Location Phone
- (303) 282-2654
- Mailing Address
- 1330 S POTOMAC ST STE 104A AURORA, CO 80012
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-12-2016
- Last Update Date
- 08-12-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 12108
- License State
- CO
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Other Providers at the Same Location
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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.
