Individual provider · Type 1 NPI

Phyliss Wagner, LPCC

Addiction (Substance Use Disorder) Counselor · Westlake, OH

NPI number 1003325416 Active

Practice location

842 Corporate Way Ste 850
Westlake, OH 44145-1537

Mailing address

107 Woodstock Dr
Avon Lake, OH 44012-1622

Other practice locations

  • 107 Woodstock Dr, Avon Lake, OH 44012-1622 · (440) 296-2050
  • 24500 Center Ridge Rd Ste 110, Westlake, OH 44145-5604 · (440) 522-9810

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XE.2001993 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.164771 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

4 other providers at this address

Other addiction (substance use disorder) counselor providers in Westlake

See all in Westlake →

About NPI 1003325416

Phyliss Wagner, LPCC's National Provider Identifier is 1003325416, issued on Sep 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Westlake, OH. The record was last updated on Sep 25, 2024.