Organization
AMARYLLIS COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WAGNER LCSW (OWNER/THERAPIST)
(224) 856-8829
Entity
Organization
Contact information
Practice address
800 S MILWAUKEE AVE STE 105, LIBERTYVILLE, IL 60048-3268
(224) 856-8829
Mailing address
606 CARRIAGE HILL CT, ISLAND LAKE, IL 60042-9597
(224) 856-8829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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