Nicholas Wagenseller, MA, LPC

NPI #1104416833 in Ashland, Oregon

Provider Information

NPI Number
1104416833
Entity Type
Individual
Name
Nicholas Wagenseller, MA, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MA, LPC
Enumeration Date
Jan 26, 2021
Last Updated
Jan 26, 2021

Practice Location

Address
449 PRIM ST
State
Oregon
ZIP Code
97520-1555
Phone
(203) 451-0485

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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