person
Kim A Wagner-evans, MS,LPC-A,LCAS-A
Professional Counselor in Winston Salem, North Carolina
NPI 1477079788

Kim A Wagner-evans is a Professional Counselor based in Kernersville, NC and is specialized in Professional. Kim A Wagner-evans practices in Winston Salem, NC and has the professional credentials of MS,LPC-A,LCAS-A. The NPI Number for Kim A Wagner-evans is 1477079788 and holds a License No. LCAS-22340 (North Carolina).

The current practice location address for Kim A Wagner-evans is 163 Stratford Ct, Winston Salem, NC and can be reached out via phone at 336-448-4123.

Location: 163 Stratford Ct, Winston Salem, NC, 27284-9325
person
Provider Profile Details
NPI Number
1477079788
Provider Name
Kim A Wagner-evans
Credential
MS,LPC-A,LCAS-A
Provider Entity Type
Individual
Gender
Female
Address
163 Stratford Ct, Winston Salem, NC, 27284-9325
Phone Number
336-448-4123
Fax Number
Provider Enumeration Date
08/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
163 Stratford Ct
City
State
Zip
27103-1836
Phone Number
336-448-4123
Fax Number
person
Provider Business Mailing Address Details
Address
163 Stratford Ct
City
State
Zip
27103-1836
Phone Number
336-448-4123
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A12831 (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.
LCAS-22340 (North Carolina)
Definition
Definition to come...
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