Individual provider · Type 1 NPI

Samantha Wagner, LPC

Professional Counselor · Oakwood Hills, IL

NPI number 1003480922 Active

Practice location

63 Brittany Dr
Oakwood Hills, IL 60013-6080

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178016407 (IL)

Professional Counselor: Definition to come...

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About NPI 1003480922

Samantha Wagner, LPC's National Provider Identifier is 1003480922, issued on May 15, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oakwood Hills, IL. The record was last updated on May 15, 2021.