Individual provider · Type 1 NPI

Allison Jade Wagner, LGPC

Mental Health Counselor · Frederick, MD

NPI number 1609418631 Active

Practice location

124 N Court St
Frederick, MD 21701-6614

Mailing address

222 S Raleigh St
Martinsburg, WV 25401-2637

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLGP9945 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1609418631

Allison Jade Wagner, LGPC's National Provider Identifier is 1609418631, issued on Oct 10, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Frederick, MD. The record was last updated on Oct 10, 2019.