| Breanna Wagner, | |
|
11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344-3801 | |
| (952) 746-2522 | |
| Not Available |
| Full Name | Breanna Wagner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11010 Prairie Lakes Dr Ste 350, Eden Prairie, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083120984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Wagner, 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: () - | Breanna Wagner, 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344-3801 Ph: (952) 746-2522 |
Aaron Leander Grier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7525 Mitchell Rd, Eden Prairie, MN 55344 Phone: 952-224-2282 Fax: 952-224-2284 | |
Peter Joseph Dorsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14377 Chestnut Drive, Eden Prairie, MN 55347 Phone: 612-226-3106 | |
Mr. Richard Arthur Rittmaster, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344 Phone: 952-746-2522 Fax: 952-746-0887 | |
Toby Dennert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7525 Mitchell Rd, Suite 100, Eden Prairie, MN 55344 Phone: 952-224-2282 | |
Claire Rosen, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Prairie Center Dr Ste 210, Eden Prairie, MN 55344 Phone: 952-234-9210 | |
Mrs. Susan Elizabeth Zaugg, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522 | |
Josi Wylynn Carter, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522 |