GERALD WAGGONER LPC NPI 1932619376

NPI Information

NPI: 1932619376
Provider Name: GERALD WAGGONER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
9378 OLIVE BLVD STE 317
SAINT LOUIS, MO
ZIP 63132
Phone: (314) 994-9344
Get Directions

Gerald Waggoner, LPC is a professional counselor in Saint Louis, MO. Gerald Waggoner, LPC NPI is 1932619376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9378 OLIVE BLVD STE 317
SAINT LOUIS, MO
ZIP 63132-224
Phone: (314) 994-9344
Fax: (314) 994-3007

The enumeration date for this NPI number is 10/11/2017 and was last updated on 10/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	001573	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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