person
Ms. Laura Lee Wagner, MS,LMHC,LCAC
Professional Counselor in West Lafayette, Indiana
NPI 1720586936

Laura Lee Wagner is a Professional Counselor based in Rensselaer, IN and is specialized in Professional. Laura Lee Wagner practices in West Lafayette, IN and has the professional credentials of MS,LMHC,LCAC. The NPI Number for Laura Lee Wagner is 1720586936 and holds a License No. 87000662A (Indiana).

The current practice location address for Laura Lee Wagner is 601 Stadium Mall Dr, West Lafayette, IN and can be reached out via phone at 765-494-6995 and via fax at 765-496-2139.

Location: 601 Stadium Mall Dr, West Lafayette, IN, 47978-2402
person
Provider Profile Details
NPI Number
1720586936
Provider Name
Laura Lee Wagner
Credential
MS,LMHC,LCAC
Provider Entity Type
Individual
Gender
Female
Address
601 Stadium Mall Dr, West Lafayette, IN, 47978-2402
Phone Number
765-494-6995
Fax Number
765-496-2139
Provider Enumeration Date
01/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 Stadium Mall Dr
City
State
Zip
47907-2052
Phone Number
765-494-6995
Fax Number
765-496-2139
person
Provider Business Mailing Address Details
Address
601 Stadium Mall Dr
City
State
Zip
47907-2052
Phone Number
765-494-6995
Fax Number
765-496-2139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
39002286A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
87000662A (Indiana)
Definition
Definition to come...
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