Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK WAGONER, LPCC
ActiveDERRICK WAGONER, LPCC is a Mental Health Counselor healthcare provider located in GLASGOW, Kentucky. NPI 1033529813 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · GLASGOW, KY
Registration Details
- NPI Number
- 1033529813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2014 (12.265544136489 yrs)
- Last Updated
- May 12, 2021
- Licenses
-
1839 (KY)172294 (KY)
Practice Information
- Address
-
104 REYNOLDS RDGLASGOW, KY, 421411177Browse KY providers · Browse ZIP 42141
- Phone
- 2706784801
- Fax
- 2706783866
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in GLASGOW, KY
| Name | Credential | NPI |
|---|---|---|
| MICHELE RENE DURKALSKI | LPCC | 1710954425 |
| SHERRY PICKETT | LPCA | 1962690503 |
| MRS. MONICA T BLEDSOE | LPCC | 1851541833 |
| LISA M. WOLFINBARGER | LPCC | 1235575804 |
| CINDY MEADOWS | LPCC | 1245661479 |
| PAMELA JOANN HUNTER | LPCA | 1144641960 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.