Individual provider · Type 1 NPI

Vonda Karla Wagner, MA

Professional Counselor · Johnson City, TN

NPI number 1740450741 Active

Practice location

2243 Eddie Williams Rd
Johnson City, TN 37601-2872

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205

Specialties and licenses

TaxonomyCodeLicense
Other Technician 247200000XNone listed
Professional Counselor Primary 101YP2500X3674 (TN)

Professional Counselor: Definition to come...

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About NPI 1740450741

Vonda Karla Wagner, MA's National Provider Identifier is 1740450741, issued on Mar 5, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Johnson City, TN. The record was last updated on Aug 10, 2016.