Individual
KRISTA WAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
18616 PARK GLEN LN, HUNTINGTON BEACH, CA 92648-6805
(714) 351-0323
Mailing address
18616 PARK GLEN LN, HUNTINGTON BEACH, CA 92648-6805
(714) 351-0323
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
483
CA
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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