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

JENNIFER WAGNER, LPC, LCDC

Active Sole Proprietor

JENNIFER WAGNER, LPC, LCDC is a Professional Counselor healthcare provider located in ATLANTA, Texas. NPI 1508392135 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · ATLANTA, TX

Registration Details

NPI Number
1508392135
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2017 (9.2464685212981 yrs)
Last Updated
Aug 3, 2020
Licenses
13846 (TX)
78248 (TX)
Sole Proprietor
Yes

Practice Information

Address
702 HOLLY ST
ATLANTA, TX, 755512308
Browse TX providers · Browse ZIP 75551
Phone
9032787795
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in ATLANTA, TX

Name Credential NPI
KELLY EVANS JOSLIN MED., L.P.C. 1033102603
MRS. DEBORAH JAMES LCDC, LPC 1629348982
MRS. JENNIFER SELLERS LPC 1841629581
MRS. ROSHARON SHUNTA TURNER LPC 1588039671
ANGELA MICHELLE MATLOCK LPC 1194251074
DWAYNE WAYMAN KILGORE LPCC 1710409230
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.