MR. BENJAMIN WAGNER M.A. NPI 1417069832

NPI Information

NPI: 1417069832
Provider Name: MR. BENJAMIN WAGNER, M.A.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3340 WOODBURN RD
ANNANDALE, VA
ZIP 22003
Phone: (703) 207-7826
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MR. Benjamin Wagner, M.A. is a professional counselor in Annandale, VA. MR. Benjamin Wagner, M.A. NPI is 1417069832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3340 WOODBURN RD
ANNANDALE, VA
ZIP 22003-202
Phone: (703) 207-7826
Fax: (703) 280-9518

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	0701004002	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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