Individual provider · Type 1 NPI

Marilee Vanwagenen, LCSW

Counselor · Provo, UT

NPI number 1639630916 Active

Practice location

151 S University Ave Ste 3200
Provo, UT 84601-4427

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X140473-3501 (UT)

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 1639630916

Marilee Vanwagenen, LCSW's National Provider Identifier is 1639630916, issued on Mar 28, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Provo, UT. The record was last updated on Mar 28, 2019.