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Jacob Waggoner
NPI 1619790003 · on the registry since 2024
Practice
- Address
- 2043 W Belmont Ave Ste 1
Chicago, IL 60618 - Phone
- (312) 324-4502
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Sex
- Male
- Record last updated
- 2024-11-04
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 Illinois