person
Kelli Wagner, LPC
Mental Health Counselor in Goodyear, Arizona
NPI 1306604343

Kelli Wagner is a Mental Health Counselor based in Goodyear, AZ and is specialized in Mental Health. Kelli Wagner practices in Goodyear, AZ and has the professional credentials of LPC. The NPI Number for Kelli Wagner is 1306604343 and holds a License No. LPC-20244 (Arizona).

The current practice location address for Kelli Wagner is 15655 W Roosevelt St Ste 224, Goodyear, AZ and can be reached out via phone at 928-683-1720.

Location: 15655 W Roosevelt St Ste 224, Goodyear, AZ, 85338-9306
person
Provider Profile Details
NPI Number
1306604343
Provider Name
Kelli Wagner
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
15655 W Roosevelt St Ste 224, Goodyear, AZ, 85338-9306
Phone Number
928-683-1720
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
15655 W Roosevelt St Ste 224
City
State
Zip
85338-9306
Phone Number
928-683-1720
Fax Number
person
Provider Business Mailing Address Details
Address
15655 W Roosevelt St Ste 224
City
State
Zip
85338-9306
Phone Number
928-683-1720
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-20244 (Arizona)
Definition
Definition to come...
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