JACOB ARNOLD WAGNER

CLEVELAND, TN
NPI1497590277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist School
(Licence: TN  000748846)
Additional Taxonomies101YS0200X Counselor School
Enumeration Date2024-06-25
Last Update Date2024-06-25
Business Address
MR. JACOB ARNOLD WAGNER LSP, ED.S
2292 CHAMBLISS AVE NW STE C2
CLEVELAND, TN 37311-3862
Phone number: 423-479-5672
Mailing Address
MR. JACOB ARNOLD WAGNER LSP, ED.S
2292 CHAMBLISS AVE NW STE C2
CLEVELAND, TN 37311-3862
Phone number: 423-479-5672