person
Mrs. Miracle Wagner, LPC
Professional Counselor in Arlington, Texas
NPI 1548611387

Miracle Wagner is a Professional Counselor based in Arlington, TX and is specialized in Professional. Miracle Wagner practices in Arlington, TX and has the professional credentials of LPC. The NPI Number for Miracle Wagner is 1548611387 and holds a License No. (Texas).

The current practice location address for Miracle Wagner is 805 Washington Dr Ste D, Arlington, TX and can be reached out via phone at 817-264-6048 and via fax at 817-549-9755.

Location: 805 Washington Dr Ste D, Arlington, TX, 76006-1593
person
Provider Profile Details
NPI Number
1548611387
Provider Name
Miracle Wagner
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
805 Washington Dr Ste D, Arlington, TX, 76006-1593
Phone Number
817-264-6048
Fax Number
817-549-9755
Provider Enumeration Date
06/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
360855601 05 TX
institution
Provider Business Practice Location Address Details
Address
805 Washington Dr Ste D
City
State
Zip
76011-2528
Phone Number
817-264-6048
Fax Number
817-549-9755
person
Provider Business Mailing Address Details
Address
805 Washington Dr Ste D
City
State
Zip
76011-2528
Phone Number
817-264-6048
Fax Number
817-549-9755
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
72494 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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