Individual
DEBORAH SUZANNE WAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 CAROLINA AVE STE A, YADKINVILLE, NC 27055-7760
(336) 818-0733
(336) 818-0734
Mailing address
1260 COLLEGE AVE STE 1, WILKESBORO, NC 28697-2700
(336) 818-0733
(336) 818-0734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A14582
NC
101YP2500X
Professional Counselor
Primary
A14582
NC
Other
Enumeration date
01/29/2019
Last updated
11/28/2019
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