Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WAGNER
ActiveSHANNON WAGNER is a Professional Counselor healthcare provider located in ROSCOE, Illinois. NPI 1790520302 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ROSCOE, IL
Registration Details
- NPI Number
- 1790520302
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2024 (2.1192166897295 yrs)
- Last Updated
- Jul 9, 2024
- License
-
178019380 (IL)
Practice Information
- Address
-
11447 2ND ST STE 9AROSCOE, IL, 610739522Browse IL providers · Browse ZIP 61073
- Phone
- 8156014673
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in ROSCOE, IL
| Name | Credential | NPI |
|---|---|---|
| JAMIE R WAGNER | LCPC, LPC, RPT-S | 1073557229 |
| MR. MILLER DONOPHAN KNIGHT JR. | LPC | 1962593079 |
| KATHLEEN EUNICE COX | LCPC | 1770628166 |
| MS. MICHELLE L PETTY | MS, LCPC, NCC | 1598030801 |
| MISS SHANNON M KEY | LPC, NCC | 1528305174 |
| MARY KATHERINE MCKINNEY | MS, LPC, NCC | 1639569767 |
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.