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MR. GRANT JORDAN WAGGONER LMFT
NPI 1346911450
Counselor - Mental Health in Dana Point, CA

Active since September 28, 2021
24632 SAN JUAN AVE STE 110, DANA POINT, CA 92629(702) 533-8324 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Grant Jordan Waggoner Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GRANT JORDAN WAGGONER LMFT (NPI 1346911450) is an individual mental health provider in Dana Point, California, licensed in California (125452) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1346911450
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GRANT JORDAN WAGGONERCredential: LMFT
Location Address24632 SAN JUAN AVE STE 110Dana Point, CA 92629-3830
Mailing Address25412 Coach Springs LnLaguna Hills, CA 92653-5861 · (702) 533-8324
Phone(702) 533-8324
Sole ProprietorYes
Enumeration DateSeptember 28, 2021
NPPES CertifiedSeptember 28, 2021
✔ NPI 1346911450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 125452
24632 SAN JUAN AVE STE 110, Dana Point, CA 92629
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Waggoner's NPI number?

The NPI number for Grant Waggoner is 1346911450. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Grant Waggoner located?

Grant Waggoner practices at 24632 San Juan Ave Ste 110, Dana Point, CA 92629. The listed phone number is (702) 533-8324.

What is Grant Waggoner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Grant Waggoner was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.