Individual provider · Type 1 NPI

Elizabeth Wagoner

Counselor · Lafayette, IN

NPI number 1770427965 Active

Practice location

25 Executive Dr Ste F
Lafayette, IN 47905-4880

Call (217) 504-0131 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X99135905A (IN)

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 1770427965

Elizabeth Wagoner's National Provider Identifier is 1770427965, issued on Apr 16, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lafayette, IN. The record was last updated on Apr 16, 2026.