Organization · Type 2 NPI
Carolyn Wagner
Mental Health Clinic/Center (Including Community Mental Health Center) · Wilmette, IL
NPI number
1164047072
Active
Practice location
1159 Wilmette Ave Ste 225
Wilmette, IL 60091-2653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in Wilmette
About NPI 1164047072
Carolyn Wagner's National Provider Identifier is 1164047072, issued on Jun 16, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Wilmette, IL. The record was last updated on Jun 16, 2020.