Individual
MS. LYNN MICHELE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-IT
Contact information
Practice address
13035 W BLUEMOUND RD STE 100, BROOKFIELD, WI 53005-8001
(262) 457-9767
Mailing address
13035 W BLUEMOUND RD STE 100, BROOKFIELD, WI 53005-8001
(262) 457-9767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5115-226
WI
Other
Enumeration date
01/03/2022
Last updated
02/07/2024
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