# ALICIA WAGNER COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619746286
- **Authorized official:** ALICIA WAGNER LIMHP, LCSW, LADC (OWNER)
- **Authorized official phone:** (402) 256-7883

## Contact information

- **Practice address:** 1909 VICKI LN STE 105, NORFOLK, NE 68701-4542
- **Practice address phone:** (402) 256-7883
- **Mailing address:** 710 S. 13TH ST., STE 900 PMB 238, NORFOLK, NE 68701
- **Mailing address phone:** (402) 256-7883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/25/2023
- **Last updated:** 12/25/2023