Individual
MS. LORI ANN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
835 PRIDE DR STE B, HAMMOND, LA 70401-9527
(985) 543-4082
Mailing address
835 PRIDE DR STE B, HAMMOND, LA 70401-9527
(985) 543-4730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3440
LA
101YP2500X
Professional Counselor
Primary
3440
LA
Other
Enumeration date
10/22/2008
Last updated
09/08/2023
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