Individual provider · Type 1 NPI

Jamie R. Wagner, LCPC, LPC, RPT-S

Professional Counselor · Roscoe, IL

NPI number 1073557229 Active

Practice location

11447 2nd St, Suite 9B
Roscoe, IL 61073-9522

Call (815) 601-4673 Map

Fax (866) 303-8062

Mailing address

3705 Tanglewood Pl
Janesville, WI 53546-7800

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X3206-125 (WI)
Professional Counselor 101YP2500X3206-125 (WI)
Professional Counselor Primary 101YP2500X180033993 (IL)

Professional Counselor: Definition to come...

7 other providers at this address

Other professional counselor providers in Roscoe

See all in Roscoe →

About NPI 1073557229

Jamie R. Wagner, LCPC, LPC, RPT-S's National Provider Identifier is 1073557229, issued on Jun 16, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roscoe, IL. The record was last updated on Nov 22, 2023.