Individual provider · Type 1 NPI

Emily Wagner

Counselor · Carbondale, IL

NPI number 1154909141 Active

Practice location

200 N Emerald Ln
Carbondale, IL 62901-2159

Call (855) 608-3560 Map

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1154909141

Emily Wagner's National Provider Identifier is 1154909141, issued on Mar 31, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Carbondale, IL. The record was last updated on Mar 31, 2021.