ELIZABETH WAGNER

BERNALILLO, NM
NPI1285643791
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NM  008010)
Enumeration Date2006-08-05
Last Update Date2008-05-02
Business Address
-- ELIZABETH WAGNER LPCC
872 S CAMINO DEL PUEBLO
BERNALILLO, NM 87004-5927
Phone number: 505-867-2383
Mailing Address
-- ELIZABETH WAGNER LPCC
782 TRAMWAY PL NE APT C
ALBUQUERQUE, NM 87122-1614
Phone number: 505-867-2383