| Doctor Name: | GARY SCHWAGER |
| NPI Number: | 1003983636 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | LPC 10930 |
| Business Practice Address: | 122 W. Vernon St. Wake Forest, NC - 27587 |
| Business Phone Number: | 9199033182 |
| Business Fax Number: | 4158339427 |
| Mailing Address: | 527 Elm Ave, WAKE FOREST |
| State: | NC |
| Postal Code: | 275872783 |
| Phone Number: | 9199033182 |
| Fax Number: | 4158339427 |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 07/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC 10930 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |