Wagner Counseling PLLC Samantha Wagner Sole Mbr
Wagner Counseling PLLC Samantha Wagner Sole Mbr is a Mental Health Counselor in Rockford, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
112 N 2nd StRockford, IL 61107-4051
Phone: (608) 313-4655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1407655509 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patty Nunez — Credentialing Specialist · (312) 439-2321 |
| NPI enumerated | March 11, 2025 |
| Last updated in NPPES | March 11, 2025 |
| Certification date | March 11, 2025 |
| Mailing address | 112 N 2nd St, Rockford, IL 61107-4051 |
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