JAMES WILLIAM WAGNER LMFT - NPI 1184753329 - Marriage & Family Therapist in Berkeley, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About James William Wagner Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES WILLIAM WAGNER LMFT (NPI 1184753329) is an individual marriage & family therapist in Berkeley, California, licensed in California (43030) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1184753329

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJAMES WILLIAM WAGNERCredential: LMFT

Location Address2955 SHATTUCK AVEBerkeley, CA 94705-1808

Mailing Address2955 Shattuck AveBerkeley, CA 94705-1808 · (510) 207-2613

Phone(510) 207-2613

Sole ProprietorYes

Enumeration DateMarch 5, 2007

Last NPPES UpdateJanuary 25, 2009

✔ NPI 1184753329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 43030

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2955 SHATTUCK AVE, Berkeley, CA 94705

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