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Dr. Larry D Wagoner, PHD,LMFT
Marriage & Family Therapist in Jacksonville, Florida
NPI 1417046699

Larry D Wagoner is a Marriage & Family Therapist based in Atlantic Beach, FL. Larry D Wagoner practices in Jacksonville, FL and has the professional credentials of PHD,LMFT. The NPI Number for Larry D Wagoner is 1417046699 and holds a License No. MT1162 (Florida).

The current practice location address for Larry D Wagoner is 7545 Centurion Pkwy, Jacksonville, FL and can be reached out via phone at 904-642-2468 and via fax at 904-642-2469.

Location: 7545 Centurion Pkwy, Jacksonville, FL, 32233-5935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417046699
Provider Name
Larry D Wagoner
Credential
PHD,LMFT
Provider Entity Type
Individual
Gender
Male
Address
7545 Centurion Pkwy, Jacksonville, FL, 32233-5935
Phone Number
904-642-2468
Fax Number
904-642-2469
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7545 Centurion Pkwy
City
Jacksonville
State
Florida
Zip
32256-0579
Phone Number
904-642-2468
Fax Number
904-642-2469
person
Provider Business Mailing Address Details
Address
7545 Centurion Pkwy
City
Jacksonville
State
Florida
Zip
32256-0579
Phone Number
904-642-2468
Fax Number
904-642-2469
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
MT1162 (Florida)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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