Individual provider · Type 1 NPI
Michelle Wagner, L.M.H.C., L.C.P.C.
Mental Health Counselor · Princeville, IL
NPI number
1467593962
Active
Practice location
11424 N Park Rdg
Princeville, IL 61559-9136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 00768 (IA) |
Mental Health Counselor: Definition to come...
Another provider at this address
About NPI 1467593962
Michelle Wagner, L.M.H.C., L.C.P.C.'s National Provider Identifier is 1467593962, issued on Feb 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Princeville, IL. The record was last updated on Jun 19, 2026.