Individual provider · Type 1 NPI

Krysta Wagoner

Mental Health Counselor · Wasilla, AK

NPI number 1972346245 Active

Practice location

291 E Swanson Ave
Wasilla, AK 99654-7004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972346245

Krysta Wagoner's National Provider Identifier is 1972346245, issued on Jun 14, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wasilla, AK. The record was last updated on Jun 14, 2024.