Individual provider · Type 1 NPI

Tonya Lavon Wagoner, LGPC

Mental Health Counselor · Capitol Heights, MD

NPI number 1982374583 Active

Practice location

6512 Ronald Rd Apt T1
Capitol Heights, MD 20743-4481

Call (202) 819-3316 Map

Mailing address

4733 W Braddock Rd Apt 101
Alexandria, VA 22311-4733

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC12354 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1982374583

Tonya Lavon Wagoner, LGPC's National Provider Identifier is 1982374583, issued on Sep 15, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Capitol Heights, MD. The record was last updated on Jun 1, 2023.