Individual
CORILYN ASHLEY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 GRAND AVE, SAINT PAUL, MN 55105-2629
(612) 619-7611
(651) 964-4748
Mailing address
1129 GRAND AVE, SAINT PAUL, MN 55105-2629
(651) 641-0177
(651) 641-8635
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5588
MN
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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