Individual
DR. KRISTIN ANN JESSOP WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2278 MOODY RD STE D, WARNER ROBINS, GA 31088-1933
(478) 929-0294
(478) 923-9770
Mailing address
2278 MOODY RD STE D, WARNER ROBINS, GA 31088-1933
(478) 929-0294
(478) 923-9770
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004600
GA
Other
Enumeration date
06/06/2022
Last updated
03/21/2023
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