GERALD WAGGONER LPC
NPI 1932619376
Counselor - Professional in Saint Louis, MO
- Individual
- Male
- Counselor
- Professional
About GERALD WAGGONER
This page provides the complete NPI Profile along with additional information for Gerald Waggoner, a provider established in Saint Louis, Missouri with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1932619376 assigned on October 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 001573 (MO). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1932619376 Verify this NPI
- Provider Name
- GERALD WAGGONER LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9378 OLIVE BLVD STE 317 SAINT LOUIS, MO 63132
- Location Phone
- (314) 994-9344
- Location Fax
- (314) 994-3007
- Mailing Address
- 9378 OLIVE BLVD STE 317 SAINT LOUIS, MO 63132
- Mailing Phone
- (314) 994-9344
- Mailing Fax
- (314) 994-3007
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-11-2017
- Last Update Date
- 10-11-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 001573
- License State
- MO
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
SAINT LOUIS, MO 63132
SAINT LOUIS, MO 63132
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932619376, enumerated as an "individual" on October 11, 2017.
The provider is located at 9378 OLIVE BLVD STE 317 SAINT LOUIS, MO 63132 and the phone number is (314) 994-9344.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
