Search › Georgia › Mental Health Counselor
Kelly Waggoner, LPCC
NPI 1730501511 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5165 Bowers Brook Dr Sw
Lilburn, GA 30047 - Phone
- (505) 695-1613
Additional practice sites
- 11005 Spain Rd Ne Ste 21, Albuquerque, NM
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-20
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 Georgia