MRS. Miracle Wagner, LPC

NPI #1548611387 in Arlington, Texas

Provider Information

NPI Number
1548611387
Entity Type
Individual
Name
MRS. Miracle Wagner, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Jun 23, 2016
Last Updated
Jun 11, 2019

Practice Location

Address
805 WASHINGTON DR STE D
State
Texas
ZIP Code
76011-2528
Phone
(817) 264-6048

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - Mental HealthMental Health
Counselor - ProfessionalProfessional

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