Nicole Wagner is a Mesa, Arizona based counselor who is specialized as Mental Health Counselor. Active license number of Nicole Wagner is LAC-19462 for Mental Health Counselor in Arizona. Her current practice location is 3707 E Southern Ave Ste 2055, Mesa. Patients can book an appointment with her at 605-641-2972.
Nicole Wagner is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Nicole Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Nicole Wagner
Specialization:
Mental Health Counselor
Gender:
Female
Accepts Medicare Assignment:
No
Practice Address:
3707 E Southern Ave Ste 2055, Mesa, Arizona, 85206-6217
Phone:
605-641-2972
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013668839
NPI Enumeration Date:
13 Jan, 2022
NPI Last Update On:
13 Jan, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Wagner are as mentioned below.
License Number
Specialization
State
Status
LAC-19462
Mental Health Counselor
Arizona
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
LAC-19462
Other
Arizona
ARIZONA COUNSELOR LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3707 E Southern Ave Ste 2055, Mesa, Arizona
Zip:
85206-6217
Phone Number:
605-641-2972
Patients can reach Nicole Wagner at 3707 E Southern Ave Ste 2055, Mesa, Arizona or can call to book an appointment on 605-641-2972. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.