| Kathryn Beatrice Wagoner, | |
|
609 Jefferson St, Fairfield, CA 94533-6293 | |
| (707) 399-9190 | |
| Not Available |
| Full Name | Kathryn Beatrice Wagoner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 609 Jefferson St, Fairfield, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548918832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Beatrice Wagoner, 1812 San Jose Dr, Antioch, CA 94509-4136 Ph: (925) 594-0786 | Kathryn Beatrice Wagoner, 609 Jefferson St, Fairfield, CA 94533-6293 Ph: (707) 399-9190 |
Mrs. Maricela Cisneros, Counselor Medicare: Not Enrolled in Medicare Practice Location: 496 Apple Tree Lane, Fairfield, CA 94533 Phone: 510-260-7503 | |
Walter William Nielson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1234 Empire St, Fairfield, CA 94533 Phone: 707-439-7830 | |
Ms. Susan Myunghee Choi, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 470 Chadbourne Rd. Suite E, Aldea Children & Family Services, Fairfield, CA 94534 Phone: 707-425-9670 Fax: 707-425-9880 | |
Amanda Kate Tubb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Union Ave Apt 2, Fairfield, CA 94533 Phone: 707-346-1974 | |
Mark Anthony Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1143 Missouri St, Fairfield, CA 94533 Phone: 707-435-9911 | |
Harmonee Isenbarger-ellis, Counselor Medicare: Medicare Enrolled Practice Location: 801 Empire St, Fairfield, CA 94533 Phone: 707-425-5744 | |
Nicole Grier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1049 Union Ave Ste D, Fairfield, CA 94533 Phone: 707-422-0464 Fax: 707-422-0465 |