C. Eliska Wagnon
NPI #1053459362 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1053459362
- Entity Type
- Individual
- Name
- C. Eliska Wagnon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4105 KIRKMAN ST
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70607-4603
- Phone
- (337) 475-8022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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