Individual provider · Type 1 NPI

Laura Lee Wagner, M.S., LMHC, LCAC

Professional Counselor · West Lafayette, IN

NPI number 1720586936 Active

Practice location

601 Stadium Mall Dr
West Lafayette, IN 47907-2052

Call (765) 494-6995 Map

Fax (765) 496-2139

Mailing address

418 N Abigail St
Rensselaer, IN 47978-2402

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X87000662A (IN)
Professional Counselor Primary 101YP2500X39002286A (IN)

Professional Counselor: Definition to come...

39 other providers at this address

About NPI 1720586936

Laura Lee Wagner, M.S., LMHC, LCAC's National Provider Identifier is 1720586936, issued on Jan 23, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Lafayette, IN. The record was last updated on Jan 23, 2018.