MRS. Nicole L Wagstrom, PCC
NPI #1790814937 in Beavercreek, Ohio
Provider Information
- NPI Number
- 1790814937
- Entity Type
- Individual
- Name
- MRS. Nicole L Wagstrom, PCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- PCC
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 801 SPACE DRIVE
- City
- Beavercreek
- State
- Ohio
- ZIP Code
- 45434-7162
- Phone
- (937) 431-3870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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Organizations
| Provider Name | |
|---|---|
| Miami Valley Counseling & Hypnosis Center |
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