Wagner, Jennifer Lynn

Wagner, Jennifer Lynn is an individual health care provider with primary practice located at 800 W 5Th Ave Suite 205I, Naperville IL 60563-8965. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wagner, Jennifer Lynn can be contacted via phone (630) 779-0751.

Contact Information

Primary practice address
800 W 5Th Ave Suite 205I Naperville IL 60563-8965
Phone: (630) 779-0751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 23972 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180006579 Illinois

Profile Details

NPI number 1184857443
LBN Legal business name Wagner, Jennifer Lynn
Credentials LCPC, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2009
Last updated Sep 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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