Individual provider · Type 1 NPI
Cheryl Lea Wagoner, LMHC LICENSED MENTAL
Mental Health Counselor · Fort Wayne, IN
NPI number
1376727057
Active
Practice location
1308 Brandon Way
Fort Wayne, IN 46845-2381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 39001832A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1376727057
Cheryl Lea Wagoner, LMHC LICENSED MENTAL's National Provider Identifier is 1376727057, issued on Dec 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 18, 2009.