Individual provider · Type 1 NPI

Lindsey Waggoner

Mental Health Counselor · Grove, OK

NPI number 1790940286 Active

Practice location

1115 Harber Road
Grove, OK 74344

Call (918) 786-4434 Map

Fax (918) 786-4435

Mailing address

56625 E 130 Road
Miami, OK 74354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790940286

Lindsey Waggoner's National Provider Identifier is 1790940286, issued on Jul 23, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grove, OK. The record was last updated on Jul 23, 2008.