PHYLISS WAGNER, LPCC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1003325416
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | No | E.2001993 (OH) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | CDCA.164771 (OH) |
Frequently Asked Questions
NPI 1003325416 is the National Provider Identifier for PHYLISS WAGNER, LPCC, a Counselor - Addiction (Substance Use Disorder) provider located in Westlake, OH. This NPI was enumerated on September 28, 2017.
PHYLISS WAGNER, LPCC practices at 842 CORPORATE WAY STE 850, Westlake, OH 44145.
Quick Facts
- NPI
- 1003325416
- Type
- Individual
- Enumerated
- Sep 28, 2017
- Last Updated
- Sep 25, 2024
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