Individual
MS. ANDREA LAVOY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1297 PARK AVE, CHICO, CA 95928-6175
(530) 345-1600
Mailing address
10 INDEPENDENCE CIR, CHICO, CA 95973-0381
(530) 345-1600
(530) 345-1685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2015
Last updated
05/04/2017
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