Individual
CHRISTINA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
13706 RESEARCH BLVD, SUITE 114, AUSTIN, TX 78750-1882
(512) 426-3606
Mailing address
3620 FLORA VISTA LOOP, ROUND ROCK, TX 78681-1050
(512) 426-3606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202137
TX
Other
Enumeration date
08/30/2016
Last updated
11/14/2016
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