SearchIllinois101Y00000X

Elizabeth Wagner, LCPC ATR-BC

NPI 1306062922 · on the registry since 2007 · sole proprietor

Practice

Address
105 N Fair St
Champaign, IL 61821
Phone
(217) 398-8090
Clinicians at this address
2

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois