PAMELA JEAN WAGNER

PRESCOTT, AZ
NPI1982316972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: AZ  LPC-21646)
Enumeration Date2022-12-21
Last Update Date2022-12-21
Business Address
PAMELA JEAN WAGNER LPC
3390 MARIGOLD DR
PRESCOTT, AZ 86305-3714
Phone number: 928-499-2358
Mailing Address
PAMELA JEAN WAGNER LPC
3390 MARIGOLD DR
PRESCOTT, AZ 86305-3714
Phone number: 928-499-2358