person
Kathryn Beatrice Wagoner
Addiction (Substance Use Disorder) Counselor in Fairfield, California
NPI 1548918832

Kathryn Beatrice Wagoner is an Addiction (Substance Use Disorder) Counselor based in Antioch, CA and is specialized in Addiction (Substance Use Disorder). Kathryn Beatrice Wagoner practices in Fairfield, CA. The NPI Number for Kathryn Beatrice Wagoner is 1548918832 and holds a License No. (California).

The current practice location address for Kathryn Beatrice Wagoner is 609 Jefferson St, Fairfield, CA and can be reached out via phone at 707-399-9190.

Location: 609 Jefferson St, Fairfield, CA, 94509-4136
person
Provider Profile Details
NPI Number
1548918832
Provider Name
Kathryn Beatrice Wagoner
Credential
Provider Entity Type
Individual
Gender
Female
Address
609 Jefferson St, Fairfield, CA, 94509-4136
Phone Number
707-399-9190
Fax Number
Provider Enumeration Date
03/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
609 Jefferson St
City
State
Zip
94533-6293
Phone Number
707-399-9190
Fax Number
person
Provider Business Mailing Address Details
Address
609 Jefferson St
City
State
Zip
94533-6293
Phone Number
707-399-9190
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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