SearchTexas101YM0800X

Frederick Wagoner, LPCA

NPI 1154116820 · on the registry since 2025 · sole proprietor

Practice

Address
12801 Roydon Dr Apt 1302
Houston, TX 77034
Phone
(865) 567-5023
Organisation at this address
Forever Young Adult Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas