| Kathy Wagner Counseling Services Llc | |
|
262 S Peachtree Pkwy Ste 4 Peachtree City GA 30269-1751 | |
| (678) 871-5927 | |
| (770) 995-1959 |
| Full Name | Kathy Wagner Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 262 S Peachtree Pkwy, Peachtree City, Georgia |
| Authorized Official Name and Position | Kathleen A Wagner (OWNER) |
| Authorized Official Contact | 6788715927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Wagner Counseling Services Llc 175 Manor Dr Fayetteville GA 30215-2959 Ph: (678) 871-5927 | Kathy Wagner Counseling Services Llc 262 S Peachtree Pkwy Ste 4 Peachtree City GA 30269-1751 Ph: (678) 871-5927 |
| NPI Number | 1629402094 |
|---|---|
| Provider Enumeration Date | 08/21/2013 |
| Last Update Date | 08/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629402094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC006769 (Georgia) | Primary |
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