Tonya Lavon Wagoner, LGPC
Tonya Lavon Wagoner, LGPC is a Mental Health Counselor in Capitol Heights, Maryland. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Maryland.
- Years since qualifying
- 7
- Licensed in
- MD
- In the registry since
- 2021
Practice location Address checks out
6512 Ronald Rd Apt T1Capitol Heights, MD 20743-4481
Phone: (202) 819-3316
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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 · Licence LC12354 (MD) |
|---|
Record details
| NPI number | 1982374583 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LGPC |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2021 |
| Last updated in NPPES | June 1, 2023 |
| Certification date | June 1, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
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