Wagner, Tiffany Wynn
Wagner, Tiffany Wynn is an sole proprietor health care provider with primary practice located at 602 E Academy St 205, Fuquay Varina NC 27526-2302. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wagner, Tiffany Wynn can be contacted via phone (919) 412-7321.Contact Information
Primary practice address
602 E Academy St 205
Fuquay Varina NC 27526-2302
Phone: (919) 412-7321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 820 | North Carolina |
Profile Details
| NPI number | 1255457479 |
|---|---|
| LBN Legal business name | Wagner, Tiffany Wynn |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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