Individual provider · Type 1 NPI

Timothy Jon Wragg, LPC, NCC

Professional Counselor · Philadelphia, PA

NPI number 1093309304 Active

Practice location

123 S Broad St
Philadelphia, PA 19109-1029

Mailing address

4329 Baltimore Ave
Philadelphia, PA 19104-4413

Other practice locations

  • 4329 Baltimore Ave, Philadelphia, PA 19104-4413 · (267) 457-4782

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC013032 (PA)

Professional Counselor: Definition to come...

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About NPI 1093309304

Timothy Jon Wragg, LPC, NCC's National Provider Identifier is 1093309304, issued on Feb 26, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 26, 2021.