Individual
ASHLEY NICOLE WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
(304) 893-9777
Mailing address
132 TAWNEY LN, PARKERSBURG, WV 26104-9127
(304) 483-6115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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