person
Mrs. Kathleen Ann Wagner, MA,LPC
Professional Counselor in Fayetteville, Georgia
NPI 1982969754

Kathleen Ann Wagner is a Professional Counselor based in Fayetteville, GA and is specialized in Professional. Kathleen Ann Wagner practices in Fayetteville, GA and has the professional credentials of MA,LPC. The NPI Number for Kathleen Ann Wagner is 1982969754 and holds a License No. LPC006769 (Georgia).

The current practice location address for Kathleen Ann Wagner is 145 Emerald Ln, Fayetteville, GA and can be reached out via phone at 678-871-5927.

Location: 145 Emerald Ln, Fayetteville, GA, 30214-4234
person
Provider Profile Details
NPI Number
1982969754
Provider Name
Kathleen Ann Wagner
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
145 Emerald Ln, Fayetteville, GA, 30214-4234
Phone Number
678-871-5927
Fax Number
Provider Enumeration Date
07/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
145 Emerald Ln
City
State
Zip
30214-4234
Phone Number
678-871-5927
Fax Number
person
Provider Business Mailing Address Details
Address
145 Emerald Ln
City
State
Zip
30214-4234
Phone Number
678-871-5927
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC006769 (Georgia)
Definition
Definition to come...
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