Individual
KATHRYN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2403 82ND ST, LUBBOCK, TX 79423-2300
(806) 705-8833
(806) 705-8833
Mailing address
2403 82ND ST, LUBBOCK, TX 79423-2300
(806) 705-8833
(806) 705-8833
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205171
TX
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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