Individual provider · Type 1 NPI

Kaitlin Waggoner, CDCA

Addiction (Substance Use Disorder) Counselor · Mount Vernon, OH

NPI number 1649620246 Active

Practice location

106 E Gambier St
Mount Vernon, OH 43050-3510

Call (740) 397-2660 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.140594 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649620246

Kaitlin Waggoner, CDCA's National Provider Identifier is 1649620246, issued on Jun 15, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Vernon, OH. The record was last updated on Jun 15, 2016.