Individual
TIANNA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCMH, NCC
Contact information
Practice address
8 THE GRN STE 8216, DOVER, DE 19901-3618
(302) 635-0003
Mailing address
PO BOX 3610, WILMINGTON, DE 19807-3610
(302) 635-0003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
07/06/2023
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