JAN LOUISE WAGNIERE

HUNTINGTON BEACH, CA
NPI1669553962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  6289)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  13001)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
-- JAN LOUISE WAGNIERE LCSW, MFC
16052 BEACH BLVD SUITE 214
HUNTINGTON BEACH, CA 92647-3801
Phone number: 714-848-1414
Mailing Address
-- JAN LOUISE WAGNIERE LCSW, MFC
28321 CAMINO LA RONDA
SAN JUAN CAPISTRANO, CA 92675-5808
Phone number: 949-240-3313