MELISA CATHERINE WAGNER NPI 1699480566

NPI Information

NPI: 1699480566
Provider Name: MELISA CATHERINE WAGNER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
6862 RAILROAD RD
HARRISON, MI
ZIP 48625
Phone: (989) 313-3039
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Melisa Catherine Wagner is a mental health counselor in Harrison, MI. Melisa Catherine Wagner NPI is 1699480566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6862 RAILROAD RD
HARRISON, MI
ZIP 48625-067
Phone: (989) 313-3039

The enumeration date for this NPI number is 1/16/2023 and was last updated on 1/16/2023.

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	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0035840738	MEDICAID	MICHIGAN

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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