Individual
ELIZA WAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
12800 HILLCREST RD # D112, DALLAS, TX 75230-1524
(214) 755-6119
Mailing address
12800 HILLCREST RD # A124, DALLAS, TX 75230-1524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91846
TX
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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