Individual
AVERY WAGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1420 W MCDERMOTT DR APT 515, ALLEN, TX 75013-3302
(903) 421-3833
Mailing address
1420 W MCDERMOTT DR APT 515, ALLEN, TX 75013-3302
(903) 421-3833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
90746
TX
101YP2500X
Professional Counselor
0022329
CO
101YP2500X
Professional Counselor
90746
TX
Other
Enumeration date
11/11/2024
Last updated
03/09/2026
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