Individual provider · Type 1 NPI

Kristen Wagoner, LPC

Professional Counselor · Decatur, GA

NPI number 1497024228 Active

Practice location

445 Winn Way
Decatur, GA 30030-1707

Call (404) 294-3835 Map

Fax (404) 508-7795

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC006494 (GA)

Professional Counselor: Definition to come...

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About NPI 1497024228

Kristen Wagoner, LPC's National Provider Identifier is 1497024228, issued on Dec 22, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, GA. The record was last updated on Jan 30, 2016.