Courtney R Wagner
Counselor, Mental Health in Moncks Corner, SC. Individual provider (NPI-1).
NPI number1316629397
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1316629397
- Entity type
- Individual (NPI-1)
- Name
- Courtney R Wagner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2023
- Certification date
- Aug 1, 2023
- Last updated
- Aug 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
403 Stony Landing RdMoncks Corner, SC 29461-3967
Phone 843-761-8282 · Fax 843-761-7308
Mailing address
403 Stony Landing RdMoncks Corner, SC 29461-3967
Phone 843-761-8282 · Fax 843-761-7308
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All 166 Mental Health Counselor providers in Moncks Corner · All 789 providers in Moncks Corner
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