FREDERICK RANSON WAGONER

HOUSTON, TX
NPI1154116820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  91801)
Enumeration Date2025-04-11
Last Update Date2025-04-11
Business Address
FREDERICK RANSON WAGONER LPCA
12801 ROYDON DR APT 1302
HOUSTON, TX 77034-4877
Phone number: 865-567-5023
Mailing Address
FREDERICK RANSON WAGONER LPCA
12801 ROYDON DR APT 1302
HOUSTON, TX 77034-4877
Phone number: 865-567-5023