| James L Wagner, LMHP | |
|
402 W 19th St, South Sioux City, NE 68776-2639 | |
| (402) 494-5265 | |
| Not Available |
| Full Name | James L Wagner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 402 W 19th St, South Sioux City, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841464799 | NPI | - | NPPES |
| 2311 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2311 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James L Wagner, LMHP Po Box 268, Dakota City, NE 68731-0268 Ph: () - | James L Wagner, LMHP 402 W 19th St, South Sioux City, NE 68776-2639 Ph: (402) 494-5265 |
Robyn L Watchorn Newbrey, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 E 39th St, South Sioux City, NE 68776 Phone: 402-494-0040 Fax: 402-494-0050 | |
Lisa Bye, Counselor Medicare: Medicare Enrolled Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776 Phone: 402-494-3337 Fax: 402-494-3356 | |
Carol J Maker, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 E 39th St, South Sioux City, NE 68776 Phone: 402-494-0040 Fax: 402-494-0050 | |
Bradley A Rowe, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 917 W 21st St, South Sioux City, NE 68776 Phone: 402-494-3337 | |
Kelley J Polk, LIMHP,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 E 39th St, South Sioux City, NE 68776 Phone: 402-494-0040 Fax: 402-494-0050 | |
Mr. Gerald Lou Mayo Iii, MSW, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 917 W 21st St, South Sioux City, NE 68776 Phone: 402-494-3337 Fax: 402-494-3356 | |
Marit Westrich, Counselor Medicare: Medicare Enrolled Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776 Phone: 402-494-3337 |