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

Stacey Wagner

Individual provider Counselor · NPI 1780041582

Stacey Wagner is a Counselor in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2016
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Practice location Address checks out

1862 N Louisville Ave
Tulsa, OK 74115-4823
Phone: (918) 695-6774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (OK)

Record details

NPI number1780041582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 25, 2016
Last updated in NPPESJanuary 25, 2016
Mailing address1862 N Louisville Ave, Tulsa, OK 74115-4823

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