Individual
LINDSEY JOANN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
211 CORPORATE DR STE G, BEAVER DAM, WI 53916-3119
(920) 219-4440
Mailing address
211 CORPORATE DR STE G, BEAVER DAM, WI 53916-3119
(920) 219-4440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18986
WI
1041C0700X
Clinical Social Worker
Primary
12789-123
WI
Other
Enumeration date
11/09/2020
Last updated
02/13/2026
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