Krysta Wagoner

NPI #1972346245 in Wasilla, Alaska

Provider Information

NPI Number: 1972346245
Entity Type: Individual
Name: Krysta Wagoner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 14, 2024
Last Updated: Jun 14, 2024

Practice Location

Address: 291 E SWANSON AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-7004
Phone: (907) 376-3275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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