Individual
HEATHER JEAN MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
633 THOMPSON LN, NASHVILLE, TN 37204-3616
(615) 463-6691
(615) 460-4434
Mailing address
1318 BRENTWOOD TER, NASHVILLE, TN 37211-7267
(615) 714-3163
(615) 460-4434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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