Individual provider · Type 1 NPI

Courtney Elise Wagoner, MA, LCMHC

Professional Counselor · Concord, NC

NPI number 1437441862 Active

Practice location

284 Executive Park Dr Ste 100
Concord, NC 28025-1833

Call (704) 939-1100 Map

Fax (704) 939-1173

Other practice locations

  • 1325 N West St, Suite 6, Carlisle, PA 17013-1447 · (717) 386-5237

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XBH001834 (PA)
Professional Counselor Primary 101YP2500X13376 (NC)

Professional Counselor: Definition to come...

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About NPI 1437441862

Courtney Elise Wagoner, MA, LCMHC's National Provider Identifier is 1437441862, issued on May 4, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Concord, NC. The record was last updated on Sep 29, 2023.