Organization · Type 2 NPI
Cheryl Wagoner LMHC Private Practice
Mental Health Counselor · Churubusco, IN
NPI number
1760151153
Active
Practice location
6450 E Mcguire Rd
Churubusco, IN 46723-9341
Other practice locations
- 4656 W Jefferson Blvd Ste 285, Fort Wayne, IN 46804-6838 · (260) 244-3427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1760151153
Cheryl Wagoner LMHC Private Practice's National Provider Identifier is 1760151153, issued on Sep 9, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Churubusco, IN. The record was last updated on Sep 9, 2021.