| Mr Robert Bruce Wagner, LPC | |
|
333 N 2nd St, Suite 305, Niles, MI 49120-2258 | |
| (269) 449-8951 | |
| Not Available |
| Full Name | Mr Robert Bruce Wagner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 333 N 2nd St, Niles, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477608107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401000453 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Bruce Wagner, LPC 333 N 2nd St, Suite 305, Niles, MI 49120-2258 Ph: (269) 449-8951 | Mr Robert Bruce Wagner, LPC 333 N 2nd St, Suite 305, Niles, MI 49120-2258 Ph: (269) 449-8951 |
Dawn Racht, Counselor Medicare: Medicare Enrolled Practice Location: 2527 S 11th St Ste 2, Niles, MI 49120 Phone: 269-262-1815 | |
Miss Carolyn Joyce Macomber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Broadway St Ste 10, Niles, MI 49120 Phone: 269-485-1505 | |
Melinda Bush, BS CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 S 11th St, Niles, MI 49120 Phone: 269-684-7741 Fax: 269-684-3671 | |
Johanna Cushing, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120 Phone: 505-913-0000 | |
Angelica Williams, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 E Main St, Niles, MI 49120 Phone: 269-340-2770 | |
Mrs. Josie Maria Dejong, MA LPC SCL NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1138 Fisk St, Niles, MI 49120 Phone: 269-240-7309 Fax: 269-683-1014 |