VICKIE JOAN WAGNER


Address: 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074
Phone: 6263957100

VICKIE JOAN WAGNER (NPI# 1982117198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982117198
Entity Type Individual
Full Name VICKIE JOAN WAGNER
Practice Address 210 S De Lacey Ave Ste 110
Pasadena
CA 91105-2074
Practice Telephone 6263957100
Mailing Telephone 6263957100
Enumeration Date 2017-11-09
Last Update Date 2017-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Office Location

Street Address 210 S DE LACEY AVE STE 110
City PASADENA
State CA
Zip Code 91105-2074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467582692 Noemi Cristina Harnen Rehabilitation Practitioner 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2007-03-06
1003314204 Thomas Mackey Rehabilitation Practitioner 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2018-01-23
1013424928 Tal Medovoy Rehabilitation Practitioner 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2018-01-02
1477069771 Naomi Choi Marriage & Family Therapist 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2017-12-21
1861908436 Abel Torres Marriage & Family Therapist 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2017-12-19
1134633431 Christopher Monroy Rehabilitation Practitioner 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2017-11-22
1255845897 Tatiana Ewing Marriage & Family Therapist 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2017-11-17
1619480662 Stephanie Bobadilla Social Worker 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2017-11-13
1225540271 Mariah Gabriella Dillard Marriage & Family Therapist 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2017-10-31
1821508904 Hazel Cornejo Rehabilitation Practitioner 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2017-10-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619451697 Tonya Michlin Registered Nurse 800 Fairmount Ave Ste 110, Pasadena, CA 91105 2018-09-17
1639674161 David Marcus Md, Inc. Psychiatry & Neurology 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 2018-03-27
1548778541 Elias & Jun Dental Corp Dentist 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 2018-01-12
1013429745 Whitney Catalano Dietitian, Registered 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 2017-11-03
1518485630 Marlon O Miller Counselor 1020 South Arroyo Parkway, Pasadena, CA 91105 2017-09-08
1316469976 Alexandra Scott Speech-Language Pathologist 235 La Vereda Road, Pasadena, CA 91105 2017-07-14
1346770443 Amanda Grace Gentz Rehabilitation Practitioner 210 S De Lacey, Ste 110, Pasadena, CA 91105 2017-06-13
1427598390 Melina Gomez Loza Licensed Vocational Nurse 66 Hilburt St #2, Pasadena, CA 91105 2017-02-27
1588115281 Ramon Banuelos Rehabilitation Practitioner 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 2016-10-18
1922554245 Daniel Joseph Ybarra Student in an Organized Health Care Education/Training Program 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 2016-08-28
Find all providers in zip 91105

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598372153 Donna Shanahan, Lmft Marriage & Family Therapist 595 E Colorado Blvd Ste 607, Pasadena, CA 91101-2015 2020-09-28
1568071298 Brigit Jeffries Marriage & Family Therapist 426 S Los Robles Ave Apt E, Pasadena, CA 91101-3257 2020-07-29
1962028886 Yuanzen Tung Marriage & Family Therapist 960 E Green St Ste 114, Pasadena, CA 91106-2401 2020-06-17
1780208801 Ivy Zequeira Marriage & Family Therapist 130 S Euclid Ave Ste 2, Pasadena, CA 91101-2471 2020-06-04
1376167361 Melba Rachel Mathew Marriage & Family Therapist 595 E Colorado Blvd Ste 211, Pasadena, CA 91101-2028 2020-06-04
1275156150 Heidi Pidcoke Marriage & Family Therapist 696 S Madison Ave, Pasadena, CA 91106-3830 2020-05-26
1952924235 Lilit Arvahi Marriage & Family Therapist 711 E Walnut St Ste 407, Pasadena, CA 91101-4403 2020-05-21
1730724022 Patricia Carmalt Marriage & Family Therapist 97 W Bellevue Dr Ste 6, Pasadena, CA 91105-2501 2019-11-11
1457993339 Lilit Melik-bakhshyan Marriage & Family Therapist 940 E Union St Ste 102, Pasadena, CA 91106-1780 2019-10-12
1295384022 Jenny Berman Marriage & Family Therapist 745 S Marengo Ave Ste 108, Pasadena, CA 91106-4738 2019-09-04
Find all providers in PASADENA

Competitor

Search similar providers

City PASADENA
Zip Code 91105

Improve Information

Please comment or provide details below to improve the information on VICKIE JOAN WAGNER.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches