| Dr Larry D Wagoner, PHD, LMFT | |
|
7545 Centurion Pkwy, Suite # 105, Jacksonville, FL 32256-0579 | |
| (904) 642-2468 | |
| (904) 642-2469 |
| Full Name | Dr Larry D Wagoner |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 7545 Centurion Pkwy, Jacksonville, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417046699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT1162 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry D Wagoner, PHD, LMFT 2058 Beach Ave, Atlantic Beach, FL 32233-5935 Ph: (904) 372-7365 | Dr Larry D Wagoner, PHD, LMFT 7545 Centurion Pkwy, Suite # 105, Jacksonville, FL 32256-0579 Ph: (904) 642-2468 |
Dr. Tabitha Renee Johnson, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2950 Halcyon Ln, Suite #605, Jacksonville, FL 32223 Phone: 904-302-5340 Fax: 904-800-1211 | |
Evelyn Huntley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12627 San Jose Blvd Ste 203, Jacksonville, FL 32223 Phone: 904-625-0596 | |
Lisa Jeanine Parker Miller, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3027 San Diego Rd, Jacksonville, FL 32207 Phone: 904-493-7758 | |
Mrs. Rachel H Colavito, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4595 Lexington Ave, Jacksonville, FL 32210 Phone: 904-783-2579 | |
Philip David Justice, Couples Therapy Medicare: Medicare Enrolled Practice Location: 6251 Philips Hwy Ste 4, Jacksonville, FL 32216 Phone: 904-256-4904 | |
Laura Daniel, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy Ste 1304, Jacksonville, FL 32216 Phone: 904-298-6946 | |
Angelus Martin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd Ste 107, Jacksonville, FL 32218 Phone: 904-683-1425 |