Wagner, Laura Lee

Wagner, Laura Lee is an sole proprietor health care provider with primary practice located at 601 Stadium Mall Dr , West Lafayette IN 47907-2052. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wagner, Laura Lee can be contacted via phone (765) 494-6995.

Contact Information

Primary practice address
601 Stadium Mall Dr West Lafayette IN 47907-2052
Phone: (765) 494-6995
Fax: (765) 496-2139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000662A Indiana
Behavioral Health & Social Service Providers / Professional 101YP2500X 39002286A Indiana

Profile Details

NPI number 1720586936
LBN Legal business name Wagner, Laura Lee
Credentials M.S., LMHC, LCAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2018
Last updated Jan 23rd, 2018 - about 6 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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