Wagoner, Courtney Elise

Wagoner, Courtney Elise is an individual health care provider with primary practice located at 284 Executive Park Dr Ste 100 , Concord NC 28025-1833. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wagoner, Courtney Elise can be contacted via phone (704) 939-1100.

Contact Information

Primary practice address
284 Executive Park Dr Ste 100 Concord NC 28025-1833
Phone: (704) 939-1100
Fax: (704) 939-1173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BH001834 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X 13376 North Carolina

Profile Details

NPI number 1437441862
LBN Legal business name Wagoner, Courtney Elise
Credentials MA, LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated Sep 29th, 2023 - about 3 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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