Individual provider · Type 1 NPI

Kim A. Wagner-Evans, MS, LPC-A, LCAS-A

Professional Counselor · Winston Salem, NC

NPI number 1477079788 Active

Practice location

163 Stratford Ct
Winston Salem, NC 27103-1836

Mailing address

341 Lucinda Ln
Kernersville, NC 27284-9325

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-22340 (NC)
Professional Counselor Primary 101YP2500XA12831 (NC)

Professional Counselor: Definition to come...

12 other providers at this address

Other professional counselor providers in Winston Salem

See all in Winston Salem →

About NPI 1477079788

Kim A. Wagner-Evans, MS, LPC-A, LCAS-A's National Provider Identifier is 1477079788, issued on Aug 17, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 17, 2017.