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

MRS. NICOLE L WAGSTROM, PCC

Active

MRS. NICOLE L WAGSTROM, PCC is a Professional Counselor healthcare provider located in BEAVERCREEK, Ohio. NPI 1790814937 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · BEAVERCREEK, OH

Registration Details

NPI Number
1790814937
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2007 (19.423598684686 yrs)
Last Updated
Jul 8, 2007
License
8377 (OH)

Practice Information

Address
801 SPACE DRIVE
BEAVERCREEK, OH, 454347162
Browse OH providers · Browse ZIP 45434
Phone
9374313870
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in BEAVERCREEK, OH

Name Credential NPI
MS. PATRICIA A KANIUGA LPCC 1659371292
MRS. DEBORAH KAYE BALDWIN MS LPCC 1073676516
MS. GEORGEANNA JANE SHIRLEY LPCC, NCC 1659436582
MRS. SHARON A DESORCY-MARCOTTE LPCC 1215051768
MARK R STOBIE PCC, NCC 1265639991
MS. LAURIE WALKER HOFF MS, PCC 1700038825
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.