person
Elizabeth Wagner, LPCC
Professional Counselor in Bernalillo, New Mexico
NPI 1285643791

Elizabeth Wagner is a Professional Counselor based in Albuquerque, NM and is specialized in Professional. Elizabeth Wagner practices in Bernalillo, NM and has the professional credentials of LPCC. The NPI Number for Elizabeth Wagner is 1285643791 and holds a License No. 008010 (New Mexico).

The current practice location address for Elizabeth Wagner is 872 S Camino Del Pueblo, Bernalillo, NM and can be reached out via phone at 505-867-2383 and via fax at 505-867-7293.

Location: 872 S Camino Del Pueblo, Bernalillo, NM, 87122-1614
person
Provider Profile Details
NPI Number
1285643791
Provider Name
Elizabeth Wagner
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
872 S Camino Del Pueblo, Bernalillo, NM, 87122-1614
Phone Number
505-867-2383
Fax Number
505-867-7293
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75129825 05 NM
institution
Provider Business Practice Location Address Details
Address
872 S Camino Del Pueblo
City
State
Zip
87004-5927
Phone Number
505-867-2383
Fax Number
505-867-7293
person
Provider Business Mailing Address Details
Address
872 S Camino Del Pueblo
City
State
Zip
87004-5927
Phone Number
505-867-2383
Fax Number
505-867-7293
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
008010 (New Mexico)
Definition
Definition to come...
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