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MR. ETHAN WILLIAMS WAGNER
NPI 1316681398
Counselor - Mental Health in Chico, CA

Active since April 25, 2022
592 RIO LINDO AVE, CHICO, CA 95926(530) 891-2775 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Ethan Williams Wagner NPPES

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

MR. ETHAN WILLIAMS WAGNER (NPI 1316681398) is an individual mental health provider in Chico, California and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1316681398
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ETHAN WILLIAMS WAGNER
Location Address592 RIO LINDO AVEChico, CA 95926-1817
Mailing Address592 Rio Lindo AveChico, CA 95926-1817 · (530) 891-2775
Phone(530) 891-2775
Sole ProprietorYes
Enumeration DateApril 25, 2022
NPPES CertifiedApril 25, 2022
✔ NPI 1316681398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
592 RIO LINDO AVE, Chico, CA 95926
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EULA J MOFFETT
Marriage & Family Therapist
592 RIO LINDO AVE
CHICO, CA 95926
Butte County (530) 891-2810
JULIA LYNN PRICE LPT
Licensed Psychiatric Technician
592 RIO LINDO AVE
CHICO, CA 95926
Butte County (530) 891-2775
MR. ANDREW DAVID LOW
Rehabilitation Counselor
592 RIO LINDO AVE
CHICO, CA 95926
Butte County (530) 891-2775
BRENT ERIN MCGUIRE BSW
Counselor (Mental Health)
592 RIO LINDO AVE
CHICO, CA 95926
Butte County (530) 891-2999
BRANDON SCOTT WALTERS
Counselor (Mental Health)
592 RIO LINDO AVE
CHICO, CA 95926
Butte County (530) 891-2999
DR. JAMES ROGER GLOVER M.D.
Psychiatry & Neurology (Psychiatry)
592 RIO LINDO AVE
CHICO, CA 95926
Butte County (530) 891-2775
MS. EDITH SABRINA BATEMAN L.V.N.
Licensed Vocational Nurse
592 RIO LINDO AVE
CHICO, CA 95926
Butte County (530) 891-2999
MS. RONDA MARIE SOUSA LICSW, ACSW
Social Worker (Clinical)
592 RIO LINDO AVE
CHICO, CA 95926
Butte County (530) 891-2999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Wagner's NPI number?

The NPI number for Ethan Wagner is 1316681398. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Ethan Wagner located?

Ethan Wagner practices at 592 Rio Lindo Ave, Chico, CA 95926. The listed phone number is (530) 891-2775.

What is Ethan Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ethan Wagner was last updated on April 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.