Organization
HOPE - CHILD AND FAMILY COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE RENEE WAGNER LCPC (OWNER)
(815) 601-4673
Entity
Organization
Contact information
Practice address
11447 2ND ST STE 9B, ROSCOE, IL 61073-9522
(815) 601-4673
(866) 303-8062
Mailing address
11447 2ND ST STE 9B, ROSCOE, IL 61073-9522
(815) 601-4673
(866) 303-8062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
180033993
IL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10132159
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/21/2008
Last updated
10/24/2025
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