Individual provider · Type 1 NPI

Terra Wagner, PhD, LPC-S

Mental Health Counselor · Irving, TX

NPI number 1467271122 Active

Practice location

7301 State Highway 161 Ste 220
Irving, TX 75039-2827

Call (682) 253-2510 Map

Mailing address

1000 Lake Carolyn Pkwy Apt 4109
Irving, TX 75039-4824

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X69159 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1467271122

Terra Wagner, PhD, LPC-S's National Provider Identifier is 1467271122, issued on Oct 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Irving, TX. The record was last updated on Oct 8, 2024.