Wagner, Kathleen Ann
Wagner, Kathleen Ann is an individual health care provider with primary practice located at 145 Emerald Ln , Fayetteville GA 30214-4234. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wagner, Kathleen Ann can be contacted via phone (678) 871-5927.Contact Information
Primary practice address
145 Emerald Ln
Fayetteville GA 30214-4234
Phone: (678) 871-5927
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC006769 | Georgia |
Profile Details
| NPI number | 1982969754 |
|---|---|
| LBN Legal business name | Wagner, Kathleen Ann |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2012 |
| Last updated | May 14th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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