Nathan Wagner, LPC, CSAC

NPI 1497100200 · on the registry since 2016

Practice

Address: 9720 Capital Ct
Suite 303
Manassas, VA 20110
Phone: (571) 921-4812
Organisation at this address: Labexpedia Inc.
Oval Beach, Llc
Gracealliance Llc
Kings Medicals Llc
Neuronest Psychiatry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 41

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YA0400X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia