person
Carolyn Wagner, MA,LPC
Professional Counselor in Wilmette, Illinois
NPI 1467986141

Carolyn Wagner is a Professional Counselor based in Park Ridge, IL and is specialized in Professional. Carolyn Wagner practices in Wilmette, IL and has the professional credentials of MA,LPC. The NPI Number for Carolyn Wagner is 1467986141 and holds a License No. 178.008548 (Illinois).

The current practice location address for Carolyn Wagner is 1159 Wilmette Ave, Wilmette, IL and can be reached out via phone at 847-728-8148.

Location: 1159 Wilmette Ave, Wilmette, IL, 60068-3520
person
Provider Profile Details
NPI Number
1467986141
Provider Name
Carolyn Wagner
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
1159 Wilmette Ave, Wilmette, IL, 60068-3520
Phone Number
847-728-8148
Fax Number
Provider Enumeration Date
04/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1159 Wilmette Ave
City
State
Zip
60091-2649
Phone Number
847-728-8148
Fax Number
person
Provider Business Mailing Address Details
Address
1159 Wilmette Ave
City
State
Zip
60091-2649
Phone Number
847-728-8148
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.008548 (Illinois)
Definition
Definition to come...
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