KATHRYN BEATRICE WAGONER
NPI 1548918832
Counselor - Addiction (Substance Use Disorder) in Fairfield, CA

Q: What is Kathryn Wagoner's NPI number?

The NPI number for Kathryn Wagoner is 1548918832. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Q: What is Kathryn Wagoner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Wagoner was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 15, 2022

609 JEFFERSON ST, FAIRFIELD, CA 94533(707) 399-9190 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathryn Beatrice Wagoner NPPES

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

KATHRYN BEATRICE WAGONER (NPI 1548918832) is an individual addiction (substance use disorder) provider in Fairfield, California and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1548918832

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKATHRYN BEATRICE WAGONER

Location Address609 JEFFERSON STFairfield, CA 94533-6293

Mailing Address1812 San Jose DrAntioch, CA 94509-4136 · (925) 594-0786

Phone(707) 399-9190

Sole ProprietorNo

Enumeration DateMarch 15, 2022

NPPES CertifiedMarch 15, 2022

✔ NPI 1548918832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

609 JEFFERSON ST, Fairfield, CA 94533

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Other Providers at the Same Location NPPES 5

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

SHARON ANN BENDER L.C.S.W.

Social Worker (Clinical)

609 JEFFERSON ST, STE E
FAIRFIELD, CA 94533

Solano County (707) 434-0962

WAVERLY ARIEL COOK

Counselor (Addiction (Substance Use Disorder))

609 JEFFERSON ST
FAIRFIELD, CA 94533

Solano County (707) 399-9190

JEFF WESTERMANN

Counselor (Addiction (Substance Use Disorder))

609 JEFFERSON ST
FAIRFIELD, CA 94533

Solano County (707) 399-9190

ARCHWAY RECOVERY SERVICES INC

Substance Abuse Rehabilitation Facility

609 JEFFERSON ST
FAIRFIELD, CA 94533

Solano County (707) 399-9190

MS. AMANDA MITCHELL

Counselor (Addiction (Substance Use Disorder))

609 JEFFERSON ST
FAIRFIELD, CA 94533

Solano County (707) 399-9190

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 Kathryn Wagoner's NPI number?

The NPI number for Kathryn Wagoner is 1548918832. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Kathryn Wagoner located?

Kathryn Wagoner practices at 609 Jefferson St, Fairfield, CA 94533. The listed phone number is (707) 399-9190.

What is Kathryn Wagoner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kathryn Wagoner was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.