MRS. SUSAN ELIZABETH WAGNER


Address: 79 Encinal Way, Ventura, CA 93001-3317
Phone: 8056537626

MRS. SUSAN ELIZABETH WAGNER (NPI# 1467776781) 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) 1467776781
Entity Type Individual
Full Name MRS. SUSAN ELIZABETH WAGNER
Credential M.A., M.F.T.I.
Practice Address 79 Encinal Way
Ventura
CA 93001-3317
Practice Telephone 8056537626
Mailing Telephone 8056537626
Enumeration Date 2010-03-15
Last Update Date 2010-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 58630 CA Behavioral Health & Social Service Providers

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1508089053 Susan Wagner Psychologist 223 Katonah Ave Ste Ef, Katonah, NY 10536-2146 2007-04-11
1144337635 Susan M Wagner Physical Therapist 85 Pleasant Dr, Hastings, MN 55033-1648 2006-08-23
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Office Location

Street Address 79 ENCINAL WAY
City VENTURA
State CA
Zip Code 93001-3317

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952929739 Christine Yana Barna Counselor 641 E Thompson Blvd, Ventura, CA 93001 2020-07-08
1477024222 4 Kids 2 Kids Psychiatric Residential Treatment Facility 9223 Nye Road, Ventura, CA 93001 2018-12-05
1578046884 Michelle Aquino Counselor 2222 Channel Dr, Ventura, CA 93001 2018-09-12
1700379096 Terrence Swanson Counselor 125 W Harrison Ave Apt A, Ventura, CA 93001 2018-06-11
1376055012 Bridge & Temple Inc Optometrist 828 E Main Street, Ventura, CA 93001 2017-11-03
1578073763 Karin Huang Counselor 2001, 28th St, Bakerfield, CA 93001 2017-10-03
1487170346 Stephanie Martello Counselor 864 East Santa Clara Street, Ventura, CA 93001 2017-08-22
1477080885 Isabel Ojeda-cobaruvias Specialist/Technologist 1234 E. Main Street, Ventura, CA 93001 2017-05-16
1902219413 Julio Perez Specialist/Technologist 1234 Main St., Ventura, CA 93001 2014-06-03
1417380478 Lacey Piper Dietitian, Registered 2841 Harbor Blvd., Ventura, CA 93001 2013-08-14
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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
1437771664 Gloria Yruegas Gonzales Marriage & Family Therapist 2895 Loma Vista Rd Ste B, Ventura, CA 93003-1523 2020-05-11
1366063570 Siobhan Mcdevitt Marriage & Family Therapist 73 N Palm St Ste M2, Ventura, CA 93001-2429 2020-04-28
1013547157 Tracey St Johns Marriage & Family Therapist 260 Maple Ct Ste 228, Ventura, CA 93003-3516 2020-01-16
1366081986 Jennifer Lynn Bartlett Marriage & Family Therapist 107 Figueroa St Ste 6, Ventura, CA 93001-2756 2019-12-30
1316584162 Ria Redublo Marriage & Family Therapist 1010 Poli St Apt 3, Ventura, CA 93001-3081 2019-11-27
1811540909 Revolution Psychotherapy, A Family and Marriage Therapy Corporation Marriage & Family Therapist 3319 Telegraph Rd Ste 108, Ventura, CA 93003-3319 2019-07-18
1447812920 Vonda Lozano Marriage & Family Therapist 260 Maple Ct Ste 127, Ventura, CA 93003-3537 2019-07-03
1376103838 Jacqueline Faith Moore Marriage & Family Therapist 5450 Ralston St Ste 101, Ventura, CA 93003-6042 2019-06-17
1942866132 Catherine Marie Jappe Marriage & Family Therapist 573 Sheridan Way, Ventura, CA 93001-1852 2019-05-14
1205309465 India Abigail Gonzalez Marriage & Family Therapist 8598 Eureka St, Ventura, CA 93004-2143 2019-01-09
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Competitor

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City VENTURA
Zip Code 93001

Improve Information

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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.

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