JAMIE WAGNER, LCPC, LPC, RPT-S

Counselor - Professional

Active Individual
NPI: 1073557229

Practice Address

11447 2ND ST
SUITE 9B
Roscoe, IL 61073

Phone: (815) 601-4673

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No 3206-125 (WI)
Counselor - Professional 101YP2500X Yes 180033993 (IL)

Frequently Asked Questions

NPI 1073557229 is the National Provider Identifier for JAMIE WAGNER, LCPC, LPC, RPT-S, a Counselor - Professional provider located in Roscoe, IL. This NPI was enumerated on June 16, 2006.
JAMIE WAGNER, LCPC, LPC, RPT-S practices at 11447 2ND ST, SUITE 9B, Roscoe, IL 61073.

Quick Facts

NPI
1073557229
Type
Individual
Enumerated
Jun 16, 2006
Last Updated
Nov 22, 2023

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