| Jonathan Stuart Wagner, LPCC | |
|
1650 38th St Ste 100e, Boulder, CO 80301-2624 | |
| (720) 600-4830 | |
| Not Available |
| Full Name | Jonathan Stuart Wagner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1650 38th St Ste 100e, Boulder, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447123724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPCC.0023950 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | LPCC.0023950 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Stuart Wagner, LPCC 3434 47th St Ste 130, Boulder, CO 80301-1802 Ph: (720) 600-4830 | Jonathan Stuart Wagner, LPCC 1650 38th St Ste 100e, Boulder, CO 80301-2624 Ph: (720) 600-4830 |
Ms. Glenda Russell O'rourke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4716 Ashfield Ct, Boulder, CO 80301 Phone: 303-443-9446 Fax: 303-447-2173 | |
Veronique P Mead, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4439 Driftwood Pl, Boulder, CO 80301 Phone: 303-581-0411 | |
Carlos Trujillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-413-6212 | |
Guilherme Zavaschi, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 | |
Ms. Regina Cannon, REGISTERED PSYCHOTHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 | |
Amanda Fielder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 Fax: 303-449-6029 | |
Lynne Marie Andrade, MA, LPCC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3360 Everett Dr, Boulder, CO 80305 Phone: 970-532-9999 |