person
Ms. Michelle Dean Wagner, MS,LPC,BCPC
Professional Counselor in Cape Girardeau, Missouri
NPI 1528265956

Michelle Dean Wagner is a Professional Counselor based in Cape Girardeau, MO and is specialized in Professional. Michelle Dean Wagner practices in Cape Girardeau, MO and has the professional credentials of MS,LPC,BCPC. The NPI Number for Michelle Dean Wagner is 1528265956 and holds a License No. 2001012922 (Missouri).

The current practice location address for Michelle Dean Wagner is 833 Broadway St, Cape Girardeau, MO and can be reached out via phone at 573-332-7889 and via fax at 573-332-7889.

Location: 833 Broadway St, Cape Girardeau, MO, 63701-2532
person
Provider Profile Details
NPI Number
1528265956
Provider Name
Michelle Dean Wagner
Credential
MS,LPC,BCPC
Provider Entity Type
Individual
Gender
Female
Address
833 Broadway St, Cape Girardeau, MO, 63701-2532
Phone Number
573-332-7889
Fax Number
573-332-7889
Provider Enumeration Date
06/29/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
495017337 05 MO
institution
Provider Business Practice Location Address Details
Address
833 Broadway St
City
State
Zip
63701-5515
Phone Number
573-332-7889
Fax Number
573-332-7889
person
Provider Business Mailing Address Details
Address
833 Broadway St
City
State
Zip
63701-5515
Phone Number
573-332-7889
Fax Number
573-332-7889
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2001012922 (Missouri)
Definition
Definition to come...
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