Jeffrie Wagner's National Provider Identifier (NPI) Details
Jeffrie Wagner, MFT, CSAC
NPI: 1265648752
Enumeration Date: 2007-05-14
Last updated: 2007-07-08
Sole Proprietor: YES
Status: active
Postal Address: PO BOX 628, KANEOHE, HI
Phone: 808-247-7962
Primary Practice Address: 46-050 KONANE PL, KANEOHE, HI
Practice's phone: 808-247-7962