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

Keely Louise Wagner, LLP, MS

Individual provider Mental Health Counselor · NPI 1518564657

Keely Louise Wagner, LLP, MS is a Mental Health Counselor in Clarkston, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095
Phone: (248) 791-9266
Show map & directions

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

Additional practice locations (1)

  • 315 N Center St, Northville, MI 48167-1277 — (234) 759-7191

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6361007929 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6362009086 (MI)

Record details

NPI number1518564657
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLP , MS
Sole proprietorNo
NPI enumeratedOctober 1, 2020
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

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