Wagoner, Eddie L

Wagoner, Eddie L is an individual health care provider with primary practice located at 804 Pecan Grove Rd E , Sherman TX 75090-1767. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wagoner, Eddie L can be contacted via phone (903) 893-7768.

Contact Information

Primary practice address
804 Pecan Grove Rd E Sherman TX 75090-1767
Phone: (903) 893-7768
Fax: (903) 893-4979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 01315 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10473 Texas

Profile Details

NPI number 1366624298
LBN Legal business name Wagoner, Eddie L
Credentials LPC, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2007
Last updated Dec 3rd, 2007 - about 17 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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