Individual
MS. ALLISON JEAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6130 GRAND CYPRESS CIR E, COCONUT CREEK, FL 33073-2343
(954) 881-6543
Mailing address
6130 GRAND CYPRESS CIR E, COCONUT CREEK, FL 33073-2343
(954) 881-6543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH5831
FL
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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