Jennifer Wagner, LPC, LCDC

NPI #1508392135 in Atlanta, Texas

Provider Information

NPI Number
1508392135
Entity Type
Individual
Name
Jennifer Wagner, LPC, LCDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC, LCDC
Enumeration Date
May 2, 2017
Last Updated
Aug 3, 2020

Practice Location

Address
702 HOLLY ST
State
Texas
ZIP Code
75551-2308
Phone
(903) 278-7795

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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