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PHYLISS WAGNER, LPCC

LPCC

Addiction (Substance Use Disorder) Counselor

NPI: 1003325416IndividualAccepts Medicare

Specialties, Licenses & Credentials

Professional Counselor

Counselor — Professional

Code: 101YP2500X

E.2001993(OH)
Addiction (Substance Use Disorder) CounselorPrimary

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

CDCA.164771(OH)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2016

Contact & Hours

Via practice · 3 locations total

Address
107 Woodstock Dr
Avon Lake, OH 44012

Locations (3)

Practice Location

107 Woodstock Dr, Avon Lake, OH
(440) 296-2050

Practice Location

24500 Center Ridge Rd Ste 110, Westlake, OH
(440) 522-9810

Practice Location

842 CORPORATE WAY STE 850, WESTLAKE, OH
(440) 296-2050

Quick Facts

NPI
1003325416
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
3
Years in Practice
10

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