Individual provider · Type 1 NPI

Richard Elliott Wagner, LPC

Professional Counselor · Dallas, TX

NPI number 1366612418 Active

Practice location

5470 Glen Lakes Dr
Dallas, TX 75231-4320

Call (214) 538-3200 Map

Fax (214) 265-1916

Mailing address

20395 Farm Road 79
Sumner, TX 75486-3652

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1366612418

Richard Elliott Wagner, LPC's National Provider Identifier is 1366612418, issued on Mar 5, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Aug 12, 2010.