National Provider Identifier
Jessica Wagner, LMHC
Jessica Wagner, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 922-7770.
Profile Overview
- NPI
- 1265982474
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- October 12, 2016
- Last Updated
- October 12, 2016
Practice Location
- 224 Alexander St
- Rochester, NY 14607-4000
Phone: (585) 922-7770
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1265982474
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Jessica
- Credential
- LMHC
- Mailing Street Address
- 224 Alexander St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-4000
- Mailing Country
- US
- Mailing Phone
- (585) 922-7770
- Practice Street Address
- 224 Alexander St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-4000
- Practice Country
- US
- Practice Phone
- (585) 922-7770
- Enumeration Date
- October 12, 2016
- Last Updated
- October 12, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)