Individual
CYNTHIA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3801 FAIRFAX DR STE 61, ARLINGTON, VA 22203-1762
(571) 523-7760
Mailing address
1300 S CLEVELAND ST APT 361, ARLINGTON, VA 22204-4848
(703) 597-6928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005467
VA
101YP2500X
Professional Counselor
PRC14138
DC
Other
Enumeration date
01/03/2011
Last updated
01/27/2019
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