JAMIE R WAGNER

ROSCOE, IL
NPI1073557229
Former NameJAMIE R REDDERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180033993)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: WI  3206-125)
101YP2500X Counselor, Professional
(Licence: WI  3206-125)
Enumeration Date2006-06-16
Last Update Date2023-11-22
Business Address
JAMIE R WAGNER LCPC, LPC, RPT-S
11447 2ND ST SUITE 9B
ROSCOE, IL 61073-9522
Phone number: 815-601-4673
Mailing Address
JAMIE R WAGNER LCPC, LPC, RPT-S
3705 TANGLEWOOD PL
JANESVILLE, WI 53546-7800
Phone number: 608-290-6705