Individual provider · Type 1 NPI

Christina Wagoner, LCPC

Professional Counselor · Frederick, MD

NPI number 1205288271 Active

Practice location

65 Thomas Johnson Dr, Suite A
Frederick, MD 21702-4371

Call (240) 575-9688 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC7181 (MD)

Professional Counselor: Definition to come...

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About NPI 1205288271

Christina Wagoner, LCPC's National Provider Identifier is 1205288271, issued on Jul 1, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Frederick, MD. The record was last updated on Jul 1, 2016.