Individual provider · Type 1 NPI

Linda Wagner I, MHS, CADC, MISA I

Addiction (Substance Use Disorder) Counselor · East Hazel Crest, IL

NPI number 1649633751 Active

Practice location

1909 Cheker Sq
East Hazel Crest, IL 60429-1442

Fax (708) 647-3504

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649633751

Linda Wagner I, MHS, CADC, MISA I's National Provider Identifier is 1649633751, issued on Apr 5, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Hazel Crest, IL. The record was last updated on Apr 5, 2016.