person
C. Eliska Wagnon
Mental Health Counselor in Lake Charles, Louisiana
NPI 1053459362

C. Eliska Wagnon is a Mental Health Counselor based in Sulphur, LA and is specialized in Mental Health. C. Eliska Wagnon practices in Lake Charles, LA. The NPI Number for C. Eliska Wagnon is 1053459362 and holds a License No. (Louisiana).

The current practice location address for C. Eliska Wagnon is 4105 Kirkman St, Lake Charles, LA and can be reached out via phone at 337-475-8022. You can also correspond with C. Eliska Wagnon through the mailing address at 1765 N CLAIBORNE ST, SULPHUR, LA - 70663-1154 (mailing address contact number: 337-475-8719).

Location: 4105 Kirkman St, Lake Charles, LA, 70663-1154
person
Provider Profile Details
NPI Number
1053459362
Provider Name
C. Eliska Wagnon
Credential
Provider Entity Type
Individual
Gender
Female
Address
4105 Kirkman St, Lake Charles, LA, 70663-1154
Phone Number
337-475-8022
Fax Number
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4105 Kirkman St
City
State
Zip
70607-4603
Phone Number
337-475-8022
Fax Number
person
Provider Business Mailing Address Details
Address
1765 N Claiborne St
City
State
Zip
70663-1154
Phone Number
337-475-8719
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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