Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Nicole L Wagstrom, PCC

Individual provider Professional Counselor · NPI 1790814937

Mrs. Nicole L Wagstrom, PCC is a Professional Counselor in Xenia, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
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Practice location Address checks out

2000 Red Robin Dr N
Xenia, OH 45385-9915
Phone: (937) 718-3317
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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 8377 (OH)

Record details

NPI number1790814937
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCC
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

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