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Search › Georgia › 101YP2500X

Kristen Wagoner, LPC

NPI 1497024228 · on the registry since 2011

Practice

Address
445 Winn Way
Decatur, GA 30030
Phone
(404) 294-3835
Fax
(404) 508-7795
Organisation at this address
Genoa Healthcare Llc
Medcura Health, Inc.
Dekalb County Board Of Health
Dekalb Community Service Board
Dekalb Community Service Board
Inferred from a shared address, not stated in the registry.
Clinicians at this address
181

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-01-30

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 Georgia