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

Angel Wagner

Individual provider Counselor · NPI 1215447032

Angel Wagner is a Counselor in Centralia, Illinois. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

904 E Martin Luther King Dr
Centralia, IL 62801-3058
Phone: (618) 533-1391
Fax: (618) 533-0012
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1215447032
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2017
Last updated in NPPESOctober 6, 2017

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