Organization · Type 2 NPI

Phil Waggoner

Addiction (Substance Use Disorder) Counselor · Lewiston, ID

NPI number 1871651422 Active

About NPI 1871651422

Phil Waggoner's National Provider Identifier is 1871651422, issued on Dec 5, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lewiston, ID. The record was last updated on Aug 22, 2020.