Individual provider · Type 1 NPI

Amanda Wagner, MA, LPC

Professional Counselor · Charleston, SC

NPI number 1881903375 Active

Practice location

125 Doughty St, Suite 190
Charleston, SC 29403-5736

Call (843) 792-0484 Map

Mailing address

67 President St, Msc 861
Charleston, SC 29425-8150

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5209 (SC)

Professional Counselor: Definition to come...

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About NPI 1881903375

Amanda Wagner, MA, LPC's National Provider Identifier is 1881903375, issued on Sep 30, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charleston, SC. The record was last updated on Oct 4, 2010.