Wagoner, Courtney Elise
Wagoner, Courtney Elise is an individual health care provider with primary practice located at 284 Executive Park Dr Ste 100 , Concord NC 28025-1833. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wagoner, Courtney Elise can be contacted via phone (704) 939-1100.Contact Information
Primary practice address
284 Executive Park Dr Ste 100
Concord NC 28025-1833
Phone: (704) 939-1100
Fax: (704) 939-1173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BH001834 | Pennsylvania |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 13376 | North Carolina |
Profile Details
| NPI number | 1437441862 |
|---|---|
| LBN Legal business name | Wagoner, Courtney Elise |
| Credentials | MA, LCMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2011 |
| Last updated | Sep 29th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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