Wagner, Melissa Joy
Wagner, Melissa Joy is an individual health care provider with primary practice located at 4745 Main St Ste 207 , Lisle IL 60532-1758. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Wagner, Melissa Joy can be contacted via phone (630) 442-1895.Contact Information
Primary practice address
4745 Main St Ste 207
Lisle IL 60532-1758
Phone: (630) 442-1895
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 178.019235 | Illinois |
Profile Details
| NPI number | 1780445742 |
|---|---|
| LBN Legal business name | Wagner, Melissa Joy |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2024 |
| Last updated | Jan 17th, 2024 - about 8 months 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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