Individual provider · Type 1 NPI
Carolyn Wagner, MA, LPC
Professional Counselor · Wilmette, IL
NPI number
1467986141
Active
Practice location
1159 Wilmette Ave, Suite 225
Wilmette, IL 60091-2649
Mailing address
116 Elmore St
Park Ridge, IL 60068-3520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178.008548 (IL) |
| Professional Counselor Primary | 101YP2500X | 180.013022 (IL) |
Professional Counselor: Definition to come...
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- Mary Ellen Lavin, PH. D.Professional Counselor Wilmette, IL NPI 1245246073
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About NPI 1467986141
Carolyn Wagner, MA, LPC's National Provider Identifier is 1467986141, issued on Apr 19, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wilmette, IL. The record was last updated on Jul 23, 2020.