Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim A Wagner-Evans, MS, LPC-A, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477079788

Kim A Wagner-Evans, MS, LPC-A, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

163 Stratford Ct
Winston Salem, NC 27103-1836
Phone: (336) 448-4123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A12831 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-22340 (NC)

Record details

NPI number1477079788
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC-A , LCAS-A
Sole proprietorYes
NPI enumeratedAugust 17, 2017
Last updated in NPPESAugust 17, 2017

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