Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jillian Quinn Van Wagenen, MA, LCMHCA, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1578272316

Jillian Quinn Van Wagenen, MA, LCMHCA, LCAS is an Addiction (Substance Use Disorder) Counselor in Cary, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

128 Quade Dr
Cary, NC 27513-7400
Phone: (919) 651-8349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A19213 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-29169 (NC)

Record details

NPI number1578272316
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCMHCA , LCAS
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

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