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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC013032 (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.