Individual provider · Type 1 NPI

Courtney R. Wagner

Mental Health Counselor · Moncks Corner, SC

NPI number 1316629397 Active

Practice location

403 Stony Landing Rd
Moncks Corner, SC 29461-3967

Fax (843) 761-7308

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316629397

Courtney R. Wagner's National Provider Identifier is 1316629397, issued on Aug 1, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moncks Corner, SC. The record was last updated on Aug 1, 2023.