Kristi Deanna Waggener LAC

NPI 1174618813 - Counselor - 101YA0400X

NPI Details
NPI 1174618813
Gender Female
Enumeration Date 10/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
UNIT 6 MEADOW LANE
CENTRAL LA STATE HOSPITAL - RED RIVER TREATMENT CENTER
PINEVILLE LA, 71360, US
Phone (318) 484-6609
Fax (318) 487-5703
Business Location
417 HIGHWAY 115
DEVILLE LA, 71328, US
Phone (318) 466-1088
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Louisiana
License Number 733
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According to our database, Mrs. Kristi Deanna Waggener LAC NPI is 1174618813, taxonomy code is 101YA0400X and license number is 733, license state is located at Louisiana. Kristi Deanna Waggener LAC physically located at Unit 6 Meadow Lane, Pineville LA, 71360. NPI Number Kristi Deanna Waggener LAC has the Individual type.

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1174618813 NPI number is provided on an as is basis without warranty of any kind. 1174618813 is maintained by the National Plan & Provider Enumeration System. The contents of Kristi Deanna Waggener LAC are for informational purposes only.