Jennifer R Wagoner
Jennifer R Wagoner is a Mental Health Counselor in Durant, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1604 N Washington AveDurant, OK 74701-2128
Phone: (580) 920-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1700159860 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2012 |
| Last updated in NPPES | February 20, 2012 |
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