KRYSTALYN JEANNETTE WAGNER NPI 1285389783

NPI Information

Krystalyn Jeannette Wagner is a counselor in Beverly Hills, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Krystalyn Jeannette Wagner NPI is 1285389783. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3404 N LECANTO HWY
BEVERLY HILLS, FL
ZIP 34465-569
Phone: (352) 419-4856

The enumeration date for this NPI number is 2/14/2022 and was last updated on 2/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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