| Derrick Wagoner, LPCC | |
|
104 Reynolds Rd, Glasgow, KY 42141-1177 | |
| (270) 678-4801 | |
| (270) 678-3866 |
| Full Name | Derrick Wagoner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 104 Reynolds Rd, Glasgow, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033529813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1839 (Kentucky) | Secondary |
| 101YM0800X | Counselor - Mental Health | 172294 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick Wagoner, LPCC 104 Reynolds Rd, Glasgow, KY 42141-1177 Ph: (270) 678-4801 | Derrick Wagoner, LPCC 104 Reynolds Rd, Glasgow, KY 42141-1177 Ph: (270) 678-4801 |
Natalie Ann Curry, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Happy Valley Rd, Glasgow, KY 42141 Phone: 833-510-4357 | |
Ms. Amber Denise Rahim, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-307-1935 | |
Amy Brickler, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-678-4801 Fax: 270-678-3866 | |
Liisa Lucas, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Happy Valley Rd, Glasgow, KY 42141 Phone: 270-901-5000 | |
April Crenshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Happy Valley Rd, Glasgow, KY 42141 Phone: 270-901-5000 Fax: 270-842-5268 | |
Rachael Keeling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-904-6567 |