Individual provider · Type 1 NPI

Amanda Wagner

Marriage & Family Therapist · Orland Park, IL

NPI number 1205478294 Active

Practice location

7021 W 153rd St Ste 5
Orland Park, IL 60462-5397

Fax (888) 419-1594

Mailing address

PO Box 764
Manteno, IL 60950-0764

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X208000757 (IL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1205478294

Amanda Wagner's National Provider Identifier is 1205478294, issued on Oct 11, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Orland Park, IL. The record was last updated on Oct 11, 2019.