Wagner, Amanda
Wagner, Amanda is an sole proprietor health care provider with primary practice located at 7021 W 153Rd St Ste 5 , Orland Park IL 60462-5397. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wagner, Amanda can be contacted via phone (708) 275-0934.Contact Information
Primary practice address
7021 W 153Rd St Ste 5
Orland Park IL 60462-5397
Phone: (708) 275-0934
Fax: (888) 419-1594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 208000757 | Illinois |
Profile Details
| NPI number | 1205478294 |
|---|---|
| LBN Legal business name | Wagner, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2019 |
| Last updated | Oct 11th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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