Individual provider · Type 1 NPI

C. Eliska Wagnon

Mental Health Counselor · Lake Charles, LA

NPI number 1053459362 Active

Practice location

4105 Kirkman St
Lake Charles, LA 70607-4603

Call (337) 475-8022 Map

Mailing address

1765 N Claiborne St
Sulphur, LA 70663-1154

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053459362

C. Eliska Wagnon's National Provider Identifier is 1053459362, issued on Feb 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Charles, LA. The record was last updated on Jul 8, 2007.