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Nicole Wagoner, LPCA
Mental Health Counselor in New Bern, North Carolina
NPI 1477015881

Nicole Wagoner is a Mental Health Counselor based in New Bern, NC and is specialized in Mental Health. Nicole Wagoner practices in New Bern, NC and has the professional credentials of LPCA. The NPI Number for Nicole Wagoner is 1477015881 and holds a License No. A14357 (North Carolina).

The current practice location address for Nicole Wagoner is 233 Middle St Ste 105, New Bern, NC and can be reached out via phone at 910-759-5959.

Location: 233 Middle St Ste 105, New Bern, NC, 28560-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477015881
Provider Name
Nicole Wagoner
Credential
LPCA
Provider Entity Type
Individual
Gender
Female
Address
233 Middle St Ste 105, New Bern, NC, 28560-2101
Phone Number
910-759-5959
Fax Number
Provider Enumeration Date
04/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295468742 05 NC
1477015881 05 NC
institution
Provider Business Practice Location Address Details
Address
233 Middle St Ste 105
City
New Bern
State
North Carolina
Zip
28560-2101
Phone Number
910-759-5959
Fax Number
person
Provider Business Mailing Address Details
Address
233 Middle St Ste 105
City
New Bern
State
North Carolina
Zip
28560-2101
Phone Number
910-759-5959
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
14357 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
A14357 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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