LISA M WAGNER

CONCORD, CA
NPI1821379520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  63977)
Enumeration Date2011-09-08
Last Update Date2011-09-08
Business Address
-- LISA M WAGNER MA, MFT, PPS
2730 SALVIO ST
CONCORD, CA 94519-2599
Phone number: 925-285-6848
Mailing Address
-- LISA M WAGNER MA, MFT, PPS
2730 SALVIO ST
CONCORD, CA 94519-2599
Phone number: