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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARILEE VANWAGENEN, LCSW

Active Sole Proprietor

MARILEE VANWAGENEN, LCSW is a Counselor healthcare provider located in PROVO, Utah. NPI 1639630916 is currently active in the NPPES registry. Verify at CMS.

Counselor · PROVO, UT

Registration Details

NPI Number
1639630916
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2019 (7.4044230857553 yrs)
Last Updated
Mar 28, 2019
License
140473-3501 (UT)
Sole Proprietor
Yes

Practice Information

Address
151 S UNIVERSITY AVE STE 3200
PROVO, UT, 846014427
Browse UT providers · Browse ZIP 84601
Phone
8018517128
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in PROVO, UT

Name Credential NPI
DR. RUSSELL CLIFFORD GAEDE PSY.D., LPC 1225197759
MARGARET VICTORIA GEILMAN APRNI 1861687394
ELIZABETH HARWARD 1174844336
MR. TREVOR ROBISON 1265743173
CAMILLE HANSEN 1023329968
MR. JEREMY ALTON JENSON 1275844698
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.