Stacey Wagner is a Counselor based in Tulsa, OK. Stacey Wagner practices in Tulsa, OK. The NPI Number for Stacey Wagner is 1780041582 and holds a License No. (Oklahoma).
The current practice location address for Stacey Wagner is 1862 N Louisville Ave, Tulsa, OK and can be reached out via phone at 918-695-6774.
Location: 1862 N Louisville Ave, Tulsa, OK, 74115-4823
Provider Profile Details
NPI Number
1780041582
Provider Name
Stacey Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
1862 N Louisville Ave, Tulsa, OK, 74115-4823
Phone Number
918-695-6774
Fax Number
Provider Enumeration Date
01/25/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1862 N Louisville Ave
City
State
Zip
74115-4823
Phone Number
918-695-6774
Fax Number
Provider Business Mailing Address Details
Address
1862 N Louisville Ave
City
State
Zip
74115-4823
Phone Number
918-695-6774
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Oklahoma)
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.
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