Individual provider · Type 1 NPI
Grant Jordan Waggoner, LMFT
Mental Health Counselor · Dana Point, CA
NPI number
1346911450
Active
Practice location
24632 San Juan Ave Ste 110
Dana Point, CA 92629-3830
Mailing address
25412 Coach Springs Ln
Laguna Hills, CA 92653-5861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 125452 (CA) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Dana Point
- Hannah DezzaniMental Health Counselor Dana Point, CA NPI 1275468076
- Barbara A. Lackey, M13368; EP1351Mental Health Counselor Dana Point, CA NPI 1396831905
- Kristina La Fave Smith, B.A.Mental Health Counselor Dana Point, CA NPI 1629385158
- Kathryn TurnerMental Health Counselor Dana Point, CA NPI 1679449565
About NPI 1346911450
Grant Jordan Waggoner, LMFT's National Provider Identifier is 1346911450, issued on Sep 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dana Point, CA. The record was last updated on Sep 28, 2021.