KRYSTA WAGONER
NPI 1972346245
Counselor - Mental Health in Wasilla, AK
Active since June 14, 2024
About Krysta Wagoner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRYSTA WAGONER (NPI 1972346245) is an individual mental health provider in Wasilla, Alaska and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1972346245
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRYSTA WAGONER
Location Address291 E SWANSON AVEWasilla, AK 99654-7004
Mailing Address291 E Swanson AveWasilla, AK 99654-7004 · (907) 376-3275
Phone(907) 376-3275
Sole ProprietorNo
Enumeration DateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1972346245 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
291 E SWANSON AVE, Wasilla, AK 99654
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972346245, enumerated as an "individual" on June 14, 2024.
The provider is located at 291 E SWANSON AVE WASILLA, AK 99654 and the phone number is (907) 376-3275.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.