person
Mrs. Cheryl Lea Wagoner, LMHCLICENSEDMENTAL
Mental Health Counselor in Fort Wayne, Indiana
NPI 1376727057

Cheryl Lea Wagoner is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Cheryl Lea Wagoner practices in Fort Wayne, IN and has the professional credentials of LMHCLICENSEDMENTAL. The NPI Number for Cheryl Lea Wagoner is 1376727057 and holds a License No. 39001832A (Indiana).

The current practice location address for Cheryl Lea Wagoner is 1308 Brandon Way, Fort Wayne, IN and can be reached out via phone at 260-244-3427.

Location: 1308 Brandon Way, Fort Wayne, IN, 46845-2381
person
Provider Profile Details
NPI Number
1376727057
Provider Name
Cheryl Lea Wagoner
Credential
LMHCLICENSEDMENTAL
Provider Entity Type
Individual
Gender
Female
Address
1308 Brandon Way, Fort Wayne, IN, 46845-2381
Phone Number
260-244-3427
Fax Number
Provider Enumeration Date
12/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1308 Brandon Way
City
State
Zip
46845-2381
Phone Number
260-244-3427
Fax Number
person
Provider Business Mailing Address Details
Address
1308 Brandon Way
City
State
Zip
46845-2381
Phone Number
260-244-3427
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39001832A (Indiana)
Definition
Definition to come...
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