Individual provider · Type 1 NPI

Kendra Anne Wagner, LMHC

Mental Health Counselor · Jacksonville, FL

NPI number 1366138406 Active

Practice location

820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207

Call (904) 376-3800 Map

Mailing address

PO Box 748519
Atlanta, GA 30374-8519

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH17634 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1366138406

Kendra Anne Wagner, LMHC's National Provider Identifier is 1366138406, issued on Apr 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 11, 2025.