Individual provider · Type 1 NPI
Pamela Jean Wagner, LPC
Counselor · Prescott, AZ
NPI number
1982316972
Active
Practice location
3390 Marigold Dr
Prescott, AZ 86305-3714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPC-21646 (AZ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1982316972
Pamela Jean Wagner, LPC's National Provider Identifier is 1982316972, issued on Dec 21, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Prescott, AZ. The record was last updated on Dec 21, 2022.