Licia Thomas-Wagoner, LCSW

NPI 1750553384 · on the registry since 2008

Practice

Address: 9409 Hull Street Rd
Suite D1
North Chesterfield, VA 23236
Phone: (804) 745-2225
Fax: (804) 745-2242
Organisation at this address: Your Taxi, Inc.
Qrt Transportaion Llc.
Balance Counseling, Llc
Alliance Family Counseling Group
Life Enrichment Center Of Virginia
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-11-12

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 Virginia