Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corilyn Ashley Wagner

Individual provider Professional Counselor · NPI 1831028174

Corilyn Ashley Wagner is a Professional Counselor in Saint Paul, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

1129 Grand Ave
Saint Paul, MN 55105-2629
Phone: (612) 619-7611
Fax: (651) 964-4748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1205 Grand Ave, Saint Paul, MN 55105-2634 — (612) 619-7611

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5588 (MN)

Record details

NPI number1831028174
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

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