Pamela Jean Wagner, LPC

NPI #1982316972 in Prescott, Arizona

Provider Information

NPI Number: 1982316972
Entity Type: Individual
Name: Pamela Jean Wagner, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Dec 21, 2022
Last Updated: Dec 21, 2022

Practice Location

Address: 3390 MARIGOLD DR
City: Prescott
State: Arizona
ZIP Code: 86305-3714
Phone: (928) 499-2358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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