Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA JOY WAGNER, LPC
ActiveMELISSA JOY WAGNER, LPC is a Art Therapist healthcare provider located in LISLE, Illinois. NPI 1780445742 is currently active in the NPPES registry. Verify at CMS.
Art Therapist · LISLE, IL
Registration Details
- NPI Number
- 1780445742
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2024 (2.5916788765623 yrs)
- Last Updated
- Jan 17, 2024
- License
-
178.019235 (IL)
Practice Information
- Address
-
4745 MAIN ST STE 207LISLE, IL, 605321758Browse IL providers · Browse ZIP 60532
- Phone
- 6304421895
- Primary Specialty
-
Art Therapist
221700000X
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.