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Individual

MRS. ASHLEY NICOLE MCCANN WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
19729 170TH AVE NE, WOODINVILLE, WA 98072-7059
(254) 448-0132
Mailing address
9805 NE 116TH ST # 7496, KIRKLAND, WA 98034-4245
(254) 448-0132

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60691352
WA

Other

Enumeration date
09/22/2015
Last updated
09/12/2022
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