Individual provider · Type 1 NPI
Nicole L. Wagstrom, PCC
Professional Counselor · Xenia, OH
NPI number
1790814937
Active
Practice location
2000 Red Robin Dr N
Xenia, OH 45385-9915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 8377 (OH) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1790814937
Nicole L. Wagstrom, PCC's National Provider Identifier is 1790814937, issued on Mar 5, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Xenia, OH. The record was last updated on Jun 11, 2026.