CAROLYN WAGNER is a mental health (including community mental health center) clinic center in Wilmette, IL. CAROLYN WAGNER NPI is 1164047072. The provider is registered as an organization entity type.
The provider's business location address is:
1159 WILMETTE AVE STE 225
WILMETTE, IL
ZIP 60091-653
Phone: (847) 728-8148
The provider's authorized official is Carolyn Wagner .
The authorized official title is Psychotherapist and has the following contact phone number (847) 728-8148.
The enumeration date for this NPI number is 6/16/2020 and was last updated on 6/16/2020.