Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Martina Wagoner

Individual provider Mental Health Counselor · NPI 1639612369

Martina Wagoner is a Mental Health Counselor in Prestonsburg, Kentucky. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

104 S Frnt Ave
Prestonsburg, KY 41653-1614
Phone: (606) 886-8572
Fax: (606) 886-4433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1639612369
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 29, 2016
Last updated in NPPESNovember 29, 2016

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