person
Dr. Jenny F Wagstaff, PHD,LPC-S,NCC,ACS
Mental Health Counselor in Lillington, North Carolina
NPI 1386130524

Jenny F Wagstaff is a Mental Health Counselor based in Buies Creek, NC and is specialized in Mental Health. Jenny F Wagstaff practices in Lillington, NC and has the professional credentials of PHD,LPC-S,NCC,ACS. The NPI Number for Jenny F Wagstaff is 1386130524 and holds a License No. 0701005095 (North Carolina).

The current practice location address for Jenny F Wagstaff is 817 W Front St, Lillington, NC and can be reached out via phone at 910-814-2197 and via fax at 910-814-2167.

Location: 817 W Front St, Lillington, NC, 27506-0369
person
Provider Profile Details
NPI Number
1386130524
Provider Name
Jenny F Wagstaff
Credential
PHD,LPC-S,NCC,ACS
Provider Entity Type
Individual
Gender
Female
Address
817 W Front St, Lillington, NC, 27506-0369
Phone Number
910-814-2197
Fax Number
910-814-2167
Provider Enumeration Date
07/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
817 W Front St
City
State
Zip
27546-9735
Phone Number
910-814-2197
Fax Number
910-814-2167
person
Provider Business Mailing Address Details
Address
817 W Front St
City
State
Zip
27546-9735
Phone Number
910-814-2197
Fax Number
910-814-2167
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
S13702 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701005095 (Virginia)
Definition
Definition to come...
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