Search › North Carolina › 101YM0800X
Jillian Van Wagenen, MA, LCMHCA, LCAS
NPI 1578272316 · on the registry since 2022
Practice
- Address
- 128 Quade Dr
Cary, NC 27513 - Phone
- (919) 651-8349
- Organisation at this address
- Optum Behavioral Care Of North Carolina, Pc
Optum Behavioral Care Of North Carolina, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-11
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 North Carolina