Tara Wagner Valid NPI
Individual provider · Counselor · Freehold, NJ
- NPI
- 1871243378
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- 37AC00492700 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-03-27
- Last updated
- 2022-03-27
Practice location
2 Paragon Way Ste 800
Freehold, NJ 07728-9573
(732) 393-8391