Individual provider · Type 1 NPI

Rebecca Waggoner

Mental Health Counselor · Wheat Ridge, CO

NPI number 1104265560 Active

Practice location

4851 Independence St Ste 200
Wheat Ridge, CO 80033-6712

Call (303) 425-0300 Map

Mailing address

3400 Stanford Road, Apartment A139
Fort Collins, CO 80525

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104265560

Rebecca Waggoner's National Provider Identifier is 1104265560, issued on Jun 19, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wheat Ridge, CO. The record was last updated on Jun 19, 2013.