Individual provider · Type 1 NPI

Gary Wagoner

Counselor · Greenup, KY

NPI number 1144327610 Active

Practice location

57 Dora Lane
Greenup, KY 41144

Call (606) 473-7333 Map

Fax (606) 473-7335

Mailing address

P.o. Box 790
Ashland, KY 41105-0790

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144327610

Gary Wagoner's National Provider Identifier is 1144327610, issued on Sep 19, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Greenup, KY. The record was last updated on Jul 8, 2007.