Organization
CHRISTA WAGELEY, MS, LCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTA LYNNE WAGELEY MS, LCPC (LICENSED CLINICAL PROF. COUNSELOR)
(301) 790-1560
Entity
Organization
Contact information
Practice address
1140 OPAL CT, HAGERSTOWN, MD 21740-5940
(301) 790-1560
Mailing address
1140 OPAL CT, HAGERSTOWN, MD 21740-5940
(301) 790-1560
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC1745
MD
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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