Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA WAGNER
Active Sole ProprietorAMANDA WAGNER is a Marriage & Family Therapist healthcare provider located in ORLAND PARK, Illinois. NPI 1205478294 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · ORLAND PARK, IL
Registration Details
- NPI Number
- 1205478294
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2019 (6.8232071468824 yrs)
- Last Updated
- Oct 11, 2019
- License
-
208000757 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7021 W 153RD ST STE 5ORLAND PARK, IL, 604625397Browse IL providers · Browse ZIP 60462
- Phone
- 7082750934
- Fax
- 8884191594
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in ORLAND PARK, IL
| Name | Credential | NPI |
|---|---|---|
| LYNNE B SCHERSCHEL | LMFT MS | 1629042700 |
| DIANE G KAPP | LMFT | 1770735870 |
| DEBORAH A MITCHELL | LMFT | 1922330232 |
| URSULA K SAQUI | LMFT | 1154644169 |
| CHARLENE BROUWER | — | 1720513005 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.