| Joe Wagner, Lpc, L.l.c. | |
|
4300 S I 10 Service Rd W Ste. 103s Metairie LA 70001-7405 | |
| (504) 265-1570 | |
| (504) 309-7845 |
| Full Name | Joe Wagner, Lpc, L.l.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4300 S I 10 Service Rd W, Metairie, Louisiana |
| Authorized Official Name and Position | Laurie Sanchez (OFFICE MANAGER) |
| Authorized Official Contact | 5043097844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joe Wagner, Lpc, L.l.c. Po Box 6744 New Orleans LA 70174-6744 Ph: (504) 309-7844 | Joe Wagner, Lpc, L.l.c. 4300 S I 10 Service Rd W Ste. 103s Metairie LA 70001-7405 Ph: (504) 265-1570 |
| NPI Number | 1982024691 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 04/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982024691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 4420 (Louisiana) | Primary |
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