person
Jennifer Wagner, LPC,LCDC
Professional Counselor in Atlanta, Texas
NPI 1508392135

Jennifer Wagner is a Professional Counselor based in Atlanta, TX and is specialized in Professional. Jennifer Wagner practices in Atlanta, TX and has the professional credentials of LPC,LCDC. The NPI Number for Jennifer Wagner is 1508392135 and holds a License No. 13846 (Texas).

The current practice location address for Jennifer Wagner is 702 Holly St, Atlanta, TX and can be reached out via phone at 903-278-7795.

Location: 702 Holly St, Atlanta, TX, 75551-0777
person
Provider Profile Details
NPI Number
1508392135
Provider Name
Jennifer Wagner
Credential
LPC,LCDC
Provider Entity Type
Individual
Gender
Female
Address
702 Holly St, Atlanta, TX, 75551-0777
Phone Number
903-278-7795
Fax Number
Provider Enumeration Date
05/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
702 Holly St
City
State
Zip
75551-2308
Phone Number
903-278-7795
Fax Number
person
Provider Business Mailing Address Details
Address
702 Holly St
City
State
Zip
75551-2308
Phone Number
903-278-7795
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
78248 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
13846 (Texas)
Definition
Definition to come...
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