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Search › Illinois › 101YP2500X

Carolyn Wagner, MA, LPC

NPI 1467986141 · on the registry since 2017 · sole proprietor

Practice

Address
1159 Wilmette Ave
Suite 225
Wilmette, IL 60091
Phone
(847) 728-8148
Organisation at this address
Carolyn Wagner
Michael G Clark Dc Sc
Guardian Home Md Corp.
Viridian Medical Group, Pllc
Wilmette Medical Group, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-23

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