Individual
HEATHER J WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
6381 GRINDSTONE RD, GRINDSTONE, PA 15442-2801
(724) 785-4346
Mailing address
265 POINTER DR, JEFFERSON HILLS, PA 15025-3272
(412) 650-9296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
PC005931
PA
Other
Enumeration date
06/26/2006
Last updated
07/28/2011
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