SearchCaliforniaMental Health Counselor

Grant Waggoner, LMFT

NPI 1346911450 · on the registry since 2021 · sole proprietor

Practice

Address
24632 San Juan Ave Ste 110
Dana Point, CA 92629
Phone
(702) 533-8324
Organisation at this address
Global 340b Pharmacy Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California