Individual
CHELSEA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2325 ULMERTON RD STE 7-D, CLEARWATER, FL 33762-2282
(813) 892-9841
Mailing address
7001 S SPARKMAN ST, TAMPA, FL 33616-1838
(813) 892-9841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17673
FL
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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