Mrs. Cheryl Lea Wagoner, LMHCLICENSEDMENTAL
Mrs. Cheryl Lea Wagoner, LMHCLICENSEDMENTAL is a Mental Health Counselor in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2007
Practice location Address checks out
1308 Brandon WayFort Wayne, IN 46845-2381 Not confirmed with CMS for 16 years — call before visiting
Phone: (260) 244-3427
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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 · Licence 39001832A (IN) |
|---|
Record details
| NPI number | 1376727057 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LMHCLICENSEDMENTAL |
| Sole proprietor | Yes |
| NPI enumerated | December 18, 2007 |
| Last updated in NPPES | November 18, 2009 |
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