Individual provider · Type 1 NPI
Kathleen Danehy Wagoner, NCC, LPCA
Mental Health Counselor · Charlotte, NC
NPI number
1659924447
Active
Practice location
4008 Providence Rd Apt H
Charlotte, NC 28211-4465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A15003 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1659924447
Kathleen Danehy Wagoner, NCC, LPCA's National Provider Identifier is 1659924447, issued on Jul 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jul 20, 2019.