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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNY F WAGSTAFF, PHD, LPC-S, NCC, ACS

Active Sole Proprietor

DR. JENNY F WAGSTAFF, PHD, LPC-S, NCC, ACS is a Mental Health Counselor healthcare provider located in LILLINGTON, North Carolina. NPI 1386130524 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · LILLINGTON, NC

Registration Details

NPI Number
1386130524
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2018 (8.0805243060384 yrs)
Last Updated
Jul 10, 2018
Licenses
0701005095 (VA)
S13702 (NC)
Sole Proprietor
Yes

Practice Information

Address
817 W FRONT ST
LILLINGTON, NC, 275469735
Browse NC providers · Browse ZIP 27546
Phone
9108142197
Fax
9108142167
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in LILLINGTON, NC

Name Credential NPI
MS. MOLLY L. VANDUSER LPCS, NCC 1659354660
DR. HARRIET LEIGH ENZOR LCMHC-S 1699791590
JAIME WARD TAYLOR QP, BS 1235285297
MR. WILLIAM R. POWELL LCMHCS, NCC 1902024029
MRS. PATRICIA KATHLEEN DENNIS LPC-A, LCAS-P 1245588573
RUTH TALAVERA 1174091748
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.